# GIRGIS MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184092314
- **Authorized official:** HANAN WAIZMAN (ADMIN)
- **Authorized official phone:** (845) 362-8100

## Contact information

- **Practice address:** 1332A ROCKLAND AVE, STATEN ISLAND, NY 10314-4944
- **Practice address phone:** (845) 362-8100
- **Practice address fax:** (845) 354-6347
- **Mailing address:** 76 BATTERY AVE, BROOKLYN, NY 11228-3550
- **Mailing address phone:** (718) 836-5706
- **Mailing address fax:** (718) 836-7191

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 200450 | NY | Yes |

## Other

- **Enumeration date:** 09/03/2015
- **Last updated:** 09/03/2015