Elessawy, Mohamed H

Elessawy, Mohamed H is an individual health care provider with primary practice located at 475 Seaview Ave , Staten Island NY 10305-3436. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Elessawy, Mohamed H can be contacted via phone (718) 226-9463.

Contact Information

Primary practice address
475 Seaview Ave Staten Island NY 10305-3436
Phone: (718) 226-9463
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 227649 New York

Profile Details

NPI number 1700869336
LBN Legal business name Elessawy, Mohamed H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Apr 2nd, 2009 - about 15 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 1700869336 NPPES
New York MEDICAID 02660162
New York Other P00296236

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