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Dr. Fawaz Ahmed Sami Al-mufti, MD
General Practice Physician in Valhalla, New York
NPI 1376776153

Fawaz Ahmed Sami Al-mufti is a General Practice Physician based in New York, NY. Fawaz Ahmed Sami Al-mufti practices in Valhalla, NY and has the professional credentials of MD. The NPI Number for Fawaz Ahmed Sami Al-mufti is 1376776153 and holds a License No. 270440 (New York).

The current practice location address for Fawaz Ahmed Sami Al-mufti is 100 Woods Rd # A, Valhalla, NY and can be reached out via phone at 914-493-7000. You can also correspond with Fawaz Ahmed Sami Al-mufti through the mailing address at 710 W 168TH ST, NEW YORK, NY - 10032-3726 (mailing address contact number: 212-305-7236).

Location: 100 Woods Rd # A, Valhalla, NY, 10032-3726
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376776153
Provider Name
Fawaz Ahmed Sami Al-mufti
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
100 Woods Rd # A, Valhalla, NY, 10032-3726
Phone Number
914-493-7000
Fax Number
Provider Enumeration Date
08/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03782198 05 NY
270440 01 NY NYS LICENSE
A400191607 01 NY MEDICARE
institution
Provider Business Practice Location Address Details
Address
100 Woods Rd # A
City
Valhalla
State
New York
Zip
10595-1530
Phone Number
914-493-7000
Fax Number
person
Provider Business Mailing Address Details
Address
710 W 168Th St
City
New York
State
New York
Zip
10032-3726
Phone Number
212-305-7236
Fax Number
212-305-2792
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
241152 (Massachusetts)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
270440 (New York)
Definition
Definition to come...
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