Provider Demographics
NPI:1669481750
Name:MAMDANI, YUSUF A (MD)
Entity Type:Individual
Prefix:DR
First Name:YUSUF
Middle Name:A
Last Name:MAMDANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:YUSUFALI
Other - Middle Name:
Other - Last Name:MAMDANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:58 SNYDER RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-1638
Mailing Address - Country:US
Mailing Address - Phone:212-721-9200
Mailing Address - Fax:718-845-0600
Practice Address - Street 1:372 CENTRAL PARK W
Practice Address - Street 2:SUITE #1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-8240
Practice Address - Country:US
Practice Address - Phone:212-721-9200
Practice Address - Fax:212-721-1300
Is Sole Proprietor?:No
Enumeration Date:2006-08-06
Last Update Date:2008-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190489207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01422499Medicaid
NY67H061Medicare PIN
NY01422499Medicaid