Doctor Name: | DR. MOHAMED MOKHTAR HUSSIEN-BAKR |
NPI Number: | 1013142801 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 60251598 |
Business Practice Address: | 2201 Hempstead Tpke East Meadow, NY - 115541859 |
Business Phone Number: | 5165723079 |
Business Fax Number: | |
Mailing Address: | 200 Carman Ave Apt 13c, EAST MEADOW |
State: | NY |
Postal Code: | 115541150 |
Phone Number: | 5167106704 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2009 |
NPI Last Update Date: | 05/21/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 283Q00000X |
License Number: | 60251598 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Psychiatric Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |