Provider Demographics
NPI:1952574535
Name:Y MAMDANI MEDICAL SERVICES PC
Entity Type:Organization
Organization Name:Y MAMDANI MEDICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YUSUFALI
Authorized Official - Middle Name:
Authorized Official - Last Name:MAMDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-721-9200
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:
Practice Address - Street 1:372 CENTRAL PARK WEST
Practice Address - Street 2:SUITE #1D
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025
Practice Address - Country:US
Practice Address - Phone:212-721-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-04
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY190489207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYG14145Medicare UPIN