Organization
ROCKLAND SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAGDI F IBRAHIM M.D. (PRESIDENT)
(845) 735-6699
Entity
Organization
Contact information
Practice address
275 N MIDDLETOWN RD STE 1F, PEARL RIVER, NY 10965-1189
(845) 735-6699
(845) 735-7999
Mailing address
275 N MIDDLETOWN RD STE 1F, PEARL RIVER, NY 10965-1189
(845) 735-6699
(845) 735-7999
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
149544
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00838862
—
NY
01
—
0096189
US HEALTHCARE INSURANCE
NY
01
—
4096768
AETNA
NY
01
—
RS099
OXFORD INSURANCE
NY
Enumeration date
12/11/2006
Last updated
08/22/2020
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