Provider Demographics
NPI:1487821658
Name:WISSAM HOYEK MD PLLC
Entity Type:Organization
Organization Name:WISSAM HOYEK MD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROXANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEEKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-522-3205
Mailing Address - Street 1:948 TODT HILL RD
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10304-1318
Mailing Address - Country:US
Mailing Address - Phone:718-987-8839
Mailing Address - Fax:
Practice Address - Street 1:271 MASON AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10305-3417
Practice Address - Country:US
Practice Address - Phone:718-351-3933
Practice Address - Fax:718-351-2897
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-15
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY233686207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWAW961Medicare PIN