MARY FATEHI


Address: 97 Amity St Fl 3, Obgyn Associates At Lich, Brooklyn, NY 11201-6004
Phone: 7187801231

MARY FATEHI (NPI# 1003863945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003863945
Entity Type Individual
Full Name MARY FATEHI
Credential MD
Practice Address 97 Amity St Fl 3
Obgyn Associates At Lich
Brooklyn
NY 11201-6004
Mailing Address Po Box 31218
Obgyn Associates At Lich
Hartford
CT 06150
Practice Telephone 7187801231
Practice Fax Number 7187804987
Mailing Telephone 9143284500
Mailing Fax Number 8455656057
Enumeration Date 2006-05-27
Last Update Date 2007-11-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0201X Obstetrics & Gynecology
Specialization: Gynecologic Oncology
194627 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01532058 05

Office Location

Street Address 97 AMITY ST FL 3
OBGYN ASSOCIATES AT LICH
City BROOKLYN
State NY
Zip Code 11201-6004

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1396394524 Avis A Sanderson Specialist 1 Pierre Point Plaza, Brooklyn, NY 11201 2019-09-10
1316501380 Alice Weijia Huang Social Worker 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 2019-04-25
1093274474 Wts Medical Staffing, LLC Home Health 195 Montague St 14th Fl, Brooklyn, NY 11201 2019-03-15
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Taxonomy Information

Taxonomy Code 207VX0201X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Gynecologic Oncology

Taxonomy Definition

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497032106 Eugenia Girda Obstetrics & Gynecology 1732 E 13th St, Brooklyn, NY 11229-1902 2011-11-08
1700278223 Albert Joseph Palileo Obstetrics & Gynecology 967 48th St, Brooklyn, NY 11219 2015-02-20
1942510920 Mmc Gynecology Oncology Fpp Obstetrics & Gynecology 953 49th St, Brooklyn, NY 11219-2923 2010-10-08
1538483458 Margaux Jenna Kanis Obstetrics & Gynecology 506 6th St, Brooklyn, NY 11215-3609 2010-03-22
1700051612 Constantine Gorelick Obstetrics & Gynecology 506 6th St, Brooklyn, NY 11215-3609 2008-04-23
1508897703 Yevgeniy Schuster P.C. Obstetrics & Gynecology 2116 Avenue P, Brooklyn, NY 11229-1507 2006-07-05
1457324915 Katherine Economos Obstetrics & Gynecology 506 6th St, Brooklyn, NY 11215-3609 2006-02-07
1104812726 Ovadia Abulafia Obstetrics & Gynecology 450 Clarkson Ave, Suite G, Brooklyn, NY 11203-2056 2005-09-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1295363125 Health Quest Medical Practice, PC Obstetrics & Gynecology 1240 Ulster Ave--gyn. Onc. Dept., Kingston, NY 12401-1517 2020-03-27
1447803028 Dib Sassine Obstetrics & Gynecology 1233 York Ave Apt 10q, New York, NY 10065-6342 2019-07-22
1578049417 Derman Basaran Obstetrics & Gynecology 504 E 63rd St Apt 17l, New York, NY 10065-7920 2018-07-13
1740706415 Benny Brandt Obstetrics & Gynecology 1233 York Ave Apt 11o, New York, NY 10065-6342 2017-08-15
1447666862 Zeitoun Medical Pllc Obstetrics & Gynecology 139 E 23rd St Fl 2, New York, NY 10010-3788 2014-07-07
1912265315 David Gal Obstetrics & Gynecology 515 E 79th St Apt 28a, New York, NY 10075-0781 2012-04-24
1184990384 Deanna Gerber Obstetrics & Gynecology 22 Heritage Dr Apt B, New City, NY 10956-5350 2012-04-02
1972895092 Gregory Matthew Gressel Obstetrics & Gynecology 1695 Eastchester Rd Ste 600, Bronx, NY 10461 2011-05-08
1366760282 Jovana Yanique Martin Obstetrics & Gynecology 319 S Manning Blvd Ste 301, Albany, NY 12208 2010-05-17
1902030679 Melissa Kristen Frey Obstetrics & Gynecology 525 E 68th St # 122, New York, NY 10065 2009-05-11
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City BROOKLYN
Zip Code 11201

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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