Provider Demographics
NPI:1457926974
Name:AL-ORPHALY, MAHMOOD
Entity Type:Individual
Prefix:MR
First Name:MAHMOOD
Middle Name:
Last Name:AL-ORPHALY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NEW YORK PRESBYTERIAN BROOKLYN METHODIST HOSPITAL, 506
Mailing Address - Street 2:BROOKLYN
Mailing Address - City:NEW YORK CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11215
Mailing Address - Country:US
Mailing Address - Phone:718-780-3000
Mailing Address - Fax:
Practice Address - Street 1:NEW YORK PRESBYTERIAN BROOKLYN METHODIST HOSPITAL, 506
Practice Address - Street 2:BROOKLYN
Practice Address - City:NEW YORK CITY
Practice Address - State:NY
Practice Address - Zip Code:11215
Practice Address - Country:US
Practice Address - Phone:718-780-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-26
Last Update Date:2022-12-20
Deactivation Date:2022-11-23
Deactivation Code:
Reactivation Date:2022-12-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program