NPI Code Details Logo

NPI 1548457518

NPI 1548457518 : WAGDY F GIRGIS MD PC : BROOKLYN, NY

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1548457518
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    WAGDY F GIRGIS MD PC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/03/2007
-----------------------------------------------------
    Last Update Date     |    09/16/2014
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    76 BATTERY AVE APT 1 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11228-3555
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-836-5706
-----------------------------------------------------
    Fax                  |    718-836-7191
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    76 BATTERY AVE APT 1 
-----------------------------------------------------
    City                 |    BROOKLYN
-----------------------------------------------------
    State                |    NY
-----------------------------------------------------
    Zip                  |    11228-3555
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    718-836-5706
-----------------------------------------------------
    Fax                  |    718-836-7191
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OFFICE MANAGER
-----------------------------------------------------
    Name                 |    MS. MARYANNE  ALESSIO 
-----------------------------------------------------
    Credential           |    R.N.
-----------------------------------------------------
    Telephone            |    718-836-5706
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    213ES0131X
-----------------------------------------------------
    Taxonomy Name        |    Foot Surgery Podiatrist
-----------------------------------------------------
    License Number       |    N006032
-----------------------------------------------------
    License Number State |    NY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    207PE0005X
-----------------------------------------------------
    Taxonomy Name        |    Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    2084N0400X
-----------------------------------------------------
    Taxonomy Name        |    Neurology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    2086S0129X
-----------------------------------------------------
    Taxonomy Name        |    Vascular Surgery Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.