Individual
HOSSAM H HAFEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 READE PL, POUGHKEEPSIE, NY 12601
(845) 454-8500
Mailing address
1351 ROUTE 55 STE 200, LAGRANGEVILLE, NY 12540-5128
(845) 475-9661
(845) 475-9938
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
287236
NY
208M00000X
Hospitalist Physician
Primary
287236
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04697614
—
NY
Enumeration date
05/07/2007
Last updated
09/24/2018
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