Provider Demographics
NPI:1255721585
Name:ALASMAR, AMAL (TEACHER)
Entity type:Individual
Prefix:MS
First Name:AMAL
Middle Name:
Last Name:ALASMAR
Suffix:
Gender:M
Credentials:TEACHER
Other - Prefix:MS
Other - First Name:AMAL
Other - Middle Name:
Other - Last Name:ALASMAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:TEACHER
Mailing Address - Street 1:3319 AVENUE I
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-3944
Mailing Address - Country:US
Mailing Address - Phone:347-499-8160
Mailing Address - Fax:
Practice Address - Street 1:3319 AVENUE I
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-3944
Practice Address - Country:US
Practice Address - Phone:347-499-8160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist