Fakhoury, Wael

Fakhoury, Wael is an individual health care provider with primary practice located at 1200 Route 300 , Newburgh NY 12550-5003. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fakhoury, Wael can be contacted via phone (845) 703-6999.

Contact Information

Primary practice address
1200 Route 300 Newburgh NY 12550-5003
Phone: (845) 703-6999
Fax: (845) 703-6297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 265832 New York

Profile Details

NPI number 1194070904
LBN Legal business name Fakhoury, Wael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2012
Last updated Aug 12th, 2020 - about 4 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 1194070904 NPPES
New York MEDICAID 03486931

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