Organization
MEDICAL OFFICE OF FAWZY WASFY SALAMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA COANE (OFFICE MANAGER)
(631) 681-4754
Entity
Organization
Contact information
Practice address
175 JERICHO TPKE, SUITE 411, SYOSSET, NY 11791-4532
(516) 558-7353
(631) 893-4020
Mailing address
175 JERICHO TPKE, SUITE 411, SYOSSET, NY 11791-4532
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
197603
NY
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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