Provider Demographics
NPI:1083926638
Name:EMIL WASSEF PHYSICIAN PC
Entity Type:Organization
Organization Name:EMIL WASSEF PHYSICIAN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:EMIL
Authorized Official - Middle Name:H
Authorized Official - Last Name:WASSEF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-962-5151
Mailing Address - Street 1:352 DOWNING DR
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-4414
Mailing Address - Country:US
Mailing Address - Phone:914-962-5151
Mailing Address - Fax:914-962-5222
Practice Address - Street 1:352 DOWNING DR
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4414
Practice Address - Country:US
Practice Address - Phone:914-962-5151
Practice Address - Fax:914-962-5222
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-12
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY187768207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY187768OtherLICENSE NUMBER
NY01971062Medicaid
NY01971062Medicaid
NYA100033563Medicare PIN
NYG26500Medicare UPIN