Hailoo, Wajdy Louis

Hailoo, Wajdy Louis is an sole proprietor health care provider with primary practice located at 210 Ronkonkoma Ave , Ronkonkoma NY 11779-3346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, which is considered as his primary health care specialty. Hailoo, Wajdy Louis can be contacted via phone (631) 780-6611.

Contact Information

Primary practice address
210 Ronkonkoma Ave Ronkonkoma NY 11779-3346
Phone: (631) 780-6611
Fax: (631) 780-6624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 169252 New York

Profile Details

NPI number 1548288590
LBN Legal business name Hailoo, Wajdy Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jun 13th, 2011 - about 13 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 1548288590 NPPES
New York Other 30F28 EMPIRE BC.BS
New York MEDICAID 01144430 EMPIRE BC.BS

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