Healthcare Provider Details

I. General information

NPI: 1932298213
Provider Name (Legal Business Name): FAYEZ GUIRGUIS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2006
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 3RD ST
BROOKLYN NY
11215-3003
US

IV. Provider business mailing address

296 7TH AVE
BROOKLYN NY
11215-7249
US

V. Phone/Fax

Practice location:
  • Phone: 718-768-8500
  • Fax:
Mailing address:
  • Phone: 347-987-4414
  • Fax: 347-889-7346

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number169448
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: