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Individual

DR. OLFAT HASSAN MAHDY-GEWAILY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11402 GUY R BREWER BLVD, JAMAICA, NY 11434-1234
(718) 883-6626
(718) 883-6193
Mailing address
7901 BROADWAY, MANAGED CARE, D1-01, ELMHURST, NY 11373-1329
(718) 334-1921
(718) 334-3432

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
182790
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00246075
NY
Enumeration date
09/30/2006
Last updated
07/08/2007
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