Organization
ASTORIA MEDICAL P C
Active
Other names
Astoria Medical
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDELBASET A YOUSSEF M.D (OWNER)
(734) 722-9022
Entity
Organization
Contact information
Practice address
4811 VENOY RD, SUITE 300, WAYNE, MI 48184-2675
(734) 722-9022
(734) 722-9044
Mailing address
4811 VENOY RD, SUITE 300, WAYNE, MI 48184-2675
(734) 722-9022
(734) 722-9044
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301081069
MI
261Q00000X
Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4533838
—
MI
Enumeration date
10/13/2006
Last updated
10/17/2013
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