Individual
DR. MOHAMED M. HASSIB ELDEFRAWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., PH.D.
Contact information
Practice address
1276 FULTON AVE, 6TH FRANKLIN, BRONX, NY 10456-3402
(346) 414-6488
(866) 363-9046
Mailing address
619 HOLLYWOOD AVE APT 3, BRONX, NY 10465-2345
(347) 414-6488
(866) 363-9046
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
251799
NY
Other
Enumeration date
01/26/2009
Last updated
12/09/2010
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