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CPT Code 12034 for Intmd rpr s/tr/ext 7.6-12.5 - Denial Journal
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Individual Provider

AYA ABDELFATTAH, MD

NPI 1821676206 Active Family Medicine
Quick Facts
NPI Number
1821676206
Type
Individual (NPI-1)
Credential
MD
Status
Active
Enumeration Date
2021-03-29
Last Updated (NPPES)
2026-09-02

Primary Specialty / Taxonomy

TaxonomyFamily Medicine
Taxonomy Code207Q00000X
License331466 NY

Practice Address

1 TALLOW WOOD DR
CLIFTON PARK, NY 120652807

Phone: 518-373-4500

Fax: 518-723-2097

Mailing Address

PO BOX 14890
ALBANY, NY 122124890

Data sourced live from the CMS NPPES NPI Registry (npiregistry.cms.hhs.gov) and cached locally. This is a public directory lookup, not a credentialing or verification service — confirm critical details directly with NPPES or the provider.

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