Individual
MAHMOUD EID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
406 15 TH STE M1A, BROOKLYN, NY 11215-6054
(718) 369-7560
(718) 269-7563
Mailing address
12 DOTY AVE, STATEN ISLAND, NY 10305-4721
(718) 524-6228
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA067775
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8777501
—
NJ
Enumeration date
09/01/2006
Last updated
02/15/2016
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