OrganizationActive
Aysar Benyamen Fathalah-Mammo,physician,pc
NPI 1427347350 · Primary Care Clinic/Center · Brooklyn, NY
Provider details
- NPI number
- 1427347350
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aysar Fathallah-Mammo, President(516) 801-0662
- License
- 212576 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
8000 4th Ave
Brooklyn, NY 11209-3959
Phone: (718) 748-2818
Fax: (718) 833-1016
Approximate (ZIP-level) locationGet directions
Mailing address
372 Elm Dr
Roslyn, NY 11576-3013
Registry dates
- Enumerated
- 2011-03-31
- Last updated
- 2011-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.