Provider Demographics
NPI:1215328125
Name:AFIFI, ALAA
Entity type:Individual
Prefix:
First Name:ALAA
Middle Name:
Last Name:AFIFI
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 1:35 101 AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11208-9901
Mailing Address - Country:US
Mailing Address - Phone:718-827-4000
Mailing Address - Fax:
Practice Address - Street 1:35 101 AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11208-9901
Practice Address - Country:US
Practice Address - Phone:718-827-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-13
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY060144183500000X
NJ28RI03686200183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist