Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aysar Benyamen Fathalah-Mammo, Physician, PC

Organization Primary Care Clinic/Center · NPI 1427347350

Aysar Benyamen Fathalah-Mammo, Physician, PC is a Primary Care Clinic/Center in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8000 4th Ave
Brooklyn, NY 11209-3959
Phone: (718) 748-2818
Fax: (718) 833-1016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 212576 (NY)

Record details

NPI number1427347350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aysar Fathallah-Mammo — President · (516) 801-0662
NPI enumeratedMarch 31, 2011
Last updated in NPPESMarch 31, 2011
Mailing address372 Elm Dr, Roslyn, NY 11576-3013

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