MEDICARE: MR. KARIM WAHIB P.A.-C, A.T.-C

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	363AS0400X	Surgical Physician Assistant	008291	NY

General Provider Information

NPI Number	:	1083898233
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KARIM WAHIB P.A.-C, A.T.-C

Provider Business Mailing Address
First Line	:	120 E 83RD ST
Second Line	:	SUITE1 B
City	:	NEW YORK
State	:	NY
Zip	:	10028-1122
Country	:	US
Telephone Number	:	646-942-8566
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 E 83RD ST
Second Line	:	SUITE 1B
City	:	NEW YORK
State	:	NY
Zip	:	10028-1122
Country	:	US
Telephone Number	:	646-248-0831
Fax Number	:

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

Provider Enumeration Date	:	12/24/2007
Last Update Date	:	08/11/2011

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