Individual
DR. DANIEL FAWAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 79TH ST, APT A, NEW YORK, NY 10075-0321
(706) 877-3720
Mailing address
111 E 79TH ST, APT A, NEW YORK, NY 10075-0321
(706) 877-3720
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
249131
NY
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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