Provider Demographics
NPI:1679012975
Name:EID, DALIA FAOUZI (MD)
Entity Type:Individual
Prefix:
First Name:DALIA
Middle Name:FAOUZI
Last Name:EID
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 1559
Mailing Address - Street 2:
Mailing Address - City:STONY BROOK
Mailing Address - State:NY
Mailing Address - Zip Code:11790-0989
Mailing Address - Country:US
Mailing Address - Phone:631-444-0650
Mailing Address - Fax:
Practice Address - Street 1:STONY BROOK CHILDREN'S HOSPITAL HSC T11, ROOM 030L
Practice Address - Street 2:
Practice Address - City:STONY BROOK
Practice Address - State:NY
Practice Address - Zip Code:11794-0001
Practice Address - Country:US
Practice Address - Phone:631-444-7692
Practice Address - Fax:631-444-7292
Is Sole Proprietor?:No
Enumeration Date:2017-02-20
Last Update Date:2022-09-30
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Provider Licenses
StateLicense IDTaxonomies
NY2903132080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases