Healthcare Provider Details

I. General information

NPI: 1215840525
Provider Name (Legal Business Name): SAWSAN TAWFEEQ MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 MERRICK AVE
EAST MEADOW NY
11554-1578
US

IV. Provider business mailing address

225 LOUISIANA ST APT 222
BUFFALO NY
14204-2504
US

V. Phone/Fax

Practice location:
  • Phone: 516-222-9300
  • Fax: 516-758-1278
Mailing address:
  • Phone: 949-344-1121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberP145800
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: