Al-Mufti, Fawaz Ahmed Sami

Al-Mufti, Fawaz Ahmed Sami is an individual health care provider with primary practice located at 100 Woods Rd # A , Valhalla NY 10595-1530. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Al-Mufti, Fawaz Ahmed Sami can be contacted via phone (914) 493-7000.

Contact Information

Primary practice address
100 Woods Rd # A Valhalla NY 10595-1530
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 270440 New York
Allopathic & Osteopathic Physicians / General Practice 208D00000X 241152 Massachusetts

Profile Details

NPI number 1376776153
LBN Legal business name Al-Mufti, Fawaz Ahmed Sami
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2009
Last updated Aug 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376776153 NPPES
New York MEDICAID 03782198
New York Other 270440
New York Other A400191607

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