Healthcare Provider Details

I. General information

NPI: 1508916727
Provider Name (Legal Business Name): HOBEIKA ORTHOPAEDICS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 10/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1090 AMSTERDAM AVE SUITE 9C
NEW YORK NY
10025
US

IV. Provider business mailing address

1090 AMSTERDAM AVE SUITE 9C
NEW YORK NY
10025
US

V. Phone/Fax

Practice location:
  • Phone: 212-663-4594
  • Fax: 212-316-6318
Mailing address:
  • Phone: 212-663-4594
  • Fax: 212-316-6318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number133556
License Number StateNY

VIII. Authorized Official

Name: DR. PAULA BOULOS HOBEIKA
Title or Position: MD
Credential:
Phone: 212-663-4594