Organization
MEDICAL SERVICES OF AMERICA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAJDY L HAILOO MD (PRESIDENT)
(631) 780-6611
Entity
Organization
Contact information
Practice address
210 RONKONKOMA AVE, RONKONKOMA, NY 11779-9998
(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
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/07/2008
Last updated
04/07/2008
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