Healthcare Provider Details

I. General information

NPI: 1275440299
Provider Name (Legal Business Name): MR. NADER WILLIAM ATTIA
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

154 W ALBANY ST
OSWEGO NY
13126-1928
US

IV. Provider business mailing address

154 W ALBANY ST
OSWEGO NY
13126-1928
US

V. Phone/Fax

Practice location:
  • Phone: 315-704-8333
  • Fax: 315-602-0113
Mailing address:
  • Phone: 315-704-8333
  • Fax: 315-602-0113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number617469556
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: