Individual
DR. FAWAZ AHMED SAMI AL-MUFTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 WOODS RD # A, VALHALLA, NY 10595-1530
(914) 493-7000
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-7236
(212) 305-2792
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
270440
NY
208D00000X
General Practice Physician
241152
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03782198
—
NY
01
—
270440
NYS LICENSE
NY
01
—
A400191607
MEDICARE
NY
Enumeration date
08/27/2009
Last updated
08/17/2018
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