Provider Demographics
NPI:1740260918
Name:SAFA, TOUFIC K (MD)
Entity type:Individual
Prefix:DR
First Name:TOUFIC
Middle Name:K
Last Name:SAFA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:40 VALLEY STREAM PKWY # 100
Mailing Address - Street 2:
Mailing Address - City:MALVERN
Mailing Address - State:PA
Mailing Address - Zip Code:19355-1407
Mailing Address - Country:US
Mailing Address - Phone:610-644-8900
Mailing Address - Fax:484-924-0053
Practice Address - Street 1:900 NORTHERN BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5302
Practice Address - Country:US
Practice Address - Phone:516-466-6760
Practice Address - Fax:516-466-6776
Is Sole Proprietor?:No
Enumeration Date:2006-01-22
Last Update Date:2024-07-16
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Provider Licenses
StateLicense IDTaxonomies
NY2012432086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01754416Medicaid
NY01754416Medicaid
NY97E241Medicare ID - Type Unspecified