Provider Demographics
NPI:1750127445
Name:MOHAMMED, OZAZ MOHAMMED ALBILALY
Entity type:Individual
Prefix:
First Name:OZAZ
Middle Name:MOHAMMED ALBILALY
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2147 HONEYWELL AVE
Mailing Address - Street 2:2B
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460
Mailing Address - Country:US
Mailing Address - Phone:332-259-2118
Mailing Address - Fax:
Practice Address - Street 1:2147 HONEYWELL AVE
Practice Address - Street 2:2B
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460
Practice Address - Country:US
Practice Address - Phone:332-259-2118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program