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Individual

IHAB RAFIK AWAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7844 METROPOLITAN AVE, MIDDLE VILLAGE, NY 11379-2966
(516) 830-5444
Mailing address
1655 WARWICK RD, HEWLETT, NY 11557-1832

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
197579
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02162458
NY
Enumeration date
11/29/2005
Last updated
07/22/2021
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