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Individual

AHMED A ELSHERYIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2832
(718) 206-6088
(718) 206-8087
Mailing address
80 MARCUS DR, PROVIDER ENROLLMENT, MELVILLE, NY 11747-4230
(631) 391-7889
(631) 454-4161

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
199684
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01749857
NY
Enumeration date
07/05/2006
Last updated
01/18/2013
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