Provider Demographics
NPI:1497867865
Name:ABU AL HUMMOS, ALI MAHMOUD (MD)
Entity Type:Individual
Prefix:
First Name:ALI
Middle Name:MAHMOUD
Last Name:ABU AL HUMMOS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 E 13TH ST
Mailing Address - Street 2:APARTMENT 3 E
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10009-3713
Mailing Address - Country:US
Mailing Address - Phone:573-864-1848
Mailing Address - Fax:
Practice Address - Street 1:416 E 13TH ST
Practice Address - Street 2:APARTMENT 3 E
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10009-3713
Practice Address - Country:US
Practice Address - Phone:573-864-1848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2015-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOT20060146492084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry