Provider Demographics
NPI:1932906252
Name:ALATTAL, ZEYAD
Entity type:Individual
Prefix:
First Name:ZEYAD
Middle Name:
Last Name:ALATTAL
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 1:512 73RD ST
Mailing Address - Street 2:FL 3
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209
Mailing Address - Country:US
Mailing Address - Phone:347-309-9239
Mailing Address - Fax:
Practice Address - Street 1:512 73RD ST
Practice Address - Street 2:FL 3
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209
Practice Address - Country:US
Practice Address - Phone:347-309-9239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY976517163WP0218X, 163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WP0218XNursing Service ProvidersRegistered NursePediatric Oncology