# GIHAN MAKRAM ELMENIAWY-FARAG, MD, PC

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

## Provider details

- **NPI number:** 1588938708
- **Authorized official:** DR. GIHAN ELMENIAWY-FARAG MD (OWNER)
- **Authorized official phone:** (718) 948-6621

## Contact information

- **Practice address:** 5091 AMBOY RD, STATEN ISLAND, NY 10312-4722
- **Practice address phone:** (718) 948-6621
- **Practice address fax:** (718) 948-1787
- **Mailing address:** 5091 AMBOY RD, STATEN ISLAND, NY 10312-4722
- **Mailing address phone:** (718) 948-6621
- **Mailing address fax:** (718) 948-1787

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 236523 | NY | Yes |

## Other

- **Enumeration date:** 03/06/2012
- **Last updated:** 03/06/2012
