Organization
MASSAPEQUA MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARWAN HAMMOUD M.D. (PRESIDENT)
(516) 798-8090
Entity
Organization
Contact information
Practice address
727 N BROADWAY, SUITE A1, MASSAPEQUA, NY 11758-2348
(516) 798-8090
(516) 795-3606
Mailing address
727 N BROADWAY, SUITE A1, MASSAPEQUA, NY 11758-2348
(516) 798-8090
(516) 795-3606
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
233296
NY
Other
Enumeration date
12/13/2011
Last updated
12/13/2011
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