Individual
DR. WAJDY LOUIS HAILOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 RONKONKOMA AVE, RONKONKOMA, NY 11779-3346
(631) 780-6611
(631) 780-6624
Mailing address
210 RONKONKOMA AVE, RONKONKOMA, NY 11779-3346
(631) 780-6611
(631) 780-6624
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
169252
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01144430
—
NY
01
—
30F28
EMPIRE BC.BS
NY
Enumeration date
07/18/2006
Last updated
06/13/2011
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