Individual
MR. MOATAZ YOUSEF HAGGAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 PATCHOGUE YAPHANK RD, SUITE 211, EAST PATCHOGUE, NY 11772-4868
(631) 758-2815
(631) 206-9299
Mailing address
110 FIG DR, DIX HILLS, NY 11746-5657
(516) 314-9058
(631) 206-9299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2084P0800X
Psychiatry Physician
Primary
227462
NY
2084P0800X
Psychiatry Physician
ME155677
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02519060
—
NY
Enumeration date
09/22/2006
Last updated
09/02/2022
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