Provider Demographics
NPI:1821365263
Name:FADI F. ATTIYEH, M.D., P.C.
Entity Type:Organization
Organization Name:FADI F. ATTIYEH, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FADI
Authorized Official - Middle Name:F
Authorized Official - Last Name:ATTIYEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-848-6615
Mailing Address - Street 1:2 E END AVE APT 6C
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10075-1153
Mailing Address - Country:US
Mailing Address - Phone:917-848-6615
Mailing Address - Fax:
Practice Address - Street 1:2 E END AVE APT 6C
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10075-1153
Practice Address - Country:US
Practice Address - Phone:917-848-6615
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY126088208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty