Hegazy, Manal

Hegazy, Manal is an individual health care provider with primary practice located at 15 Park Ave , Bay Shore NY 11706-7381. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Hegazy, Manal can be contacted via phone (631) 581-4400.

Contact Information

Primary practice address
15 Park Ave Bay Shore NY 11706-7381
Fax: (631) 277-3750
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 223695 New York

Profile Details

NPI number 1457380024
LBN Legal business name Hegazy, Manal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Dec 1st, 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 1457380024 NPPES
New York Other 223695 LICENSE
New York MEDICAID 02526790 LICENSE

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