MEDICARE: YOUSEF AMER M.D., F.A.C.O.G.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	246971	NY
2	207V00000X	Obstetrics & Gynecology Physician	MA61775	NJ
3	207V00000X	Obstetrics & Gynecology Physician	25MA06177500	NJ

General Provider Information

NPI Number	:	1023109451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOUSEF AMER M.D., F.A.C.O.G.

Provider Business Mailing Address
First Line	:	30 ERIC CT
Second Line	:
City	:	MORGANVILLE
State	:	NJ
Zip	:	07751-1060
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	235 PORT RICHMOND AVE
Second Line	:
City	:	STATEN ISLAND
State	:	NY
Zip	:	10302-1701
Country	:	US
Telephone Number	:	718-876-1732
Fax Number	:	718-815-3462

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	03/31/2021

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