NPI 1023864626

Iman Fadlalla

Practitioner Case Manager/Care Coordinator Fresh Meadows, NY

Practice location

Address: 6725 188th St, Fresh Meadows, NY 11365-3767
Phone: (718) 454-6460

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1023864626
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Apr 2024
Record last updated: 25 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.