| Medical Office Of Fawzy Wasfy Salama Pllc | |
|
175 Jericho Tpke Suite 411 Syosset NY 11791-4532 | |
| (516) 558-7353 | |
| (631) 893-4020 |
| Full Name | Medical Office Of Fawzy Wasfy Salama Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 175 Jericho Tpke, Syosset, New York |
| Authorized Official Name and Position | Debra Coane (OFFICE MANAGER) |
| Authorized Official Contact | 6316814754 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Office Of Fawzy Wasfy Salama Pllc 175 Jericho Tpke Suite 411 Syosset NY 11791-4532 Ph: () - | Medical Office Of Fawzy Wasfy Salama Pllc 175 Jericho Tpke Suite 411 Syosset NY 11791-4532 Ph: (516) 558-7353 |
| NPI Number | 1467823443 |
|---|---|
| Provider Enumeration Date | 10/15/2015 |
| Last Update Date | 10/15/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467823443 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | 197603 (New York) | Primary |
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