Organization
BEHAVIORAL HEALTH MEDICAL PRACTICE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOATAZ YOUSEF HAGGAG M.D. (PRESIDENT)
(631) 758-2815
Entity
Organization
Contact information
Practice address
240 PATCHOGUE YAPHANK RD, SUITE 211, EAST PATCHOGUE, NY 11772-4868
(631) 758-2815
(631) 206-9299
Mailing address
110 FIG DR, DIX HILLS, NY 11746-5657
(631) 758-2815
(631) 206-9299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
227462
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02986065
—
NY
Enumeration date
04/09/2007
Last updated
08/20/2021
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