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Individual

DR. BASEM SADEK ELFAHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9 WOODFIELD AVE, NORTHPORT, NY 11768-2400
(631) 553-6855
Mailing address
9 WOODFIELD AVE, NORTHPORT, NY 11768-2400
(631) 553-6855

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
129450
NY

Other

Enumeration date
01/08/2007
Last updated
07/08/2007
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