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NPI Code Detail

MEDICARE: MAHMOUD YAZIED DWEIK MD

MEDICARE: MAHMOUD YAZIED DWEIK MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianW2061TX
22084P0800XPsychiatry Physician317738NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285193235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAHMOUD YAZIED DWEIK MD
Provider Business Mailing Address
First Line : 109 N 12TH ST STE 704
Second Line :
City : BROOKLYN
State : NY
Zip : 11249-1002
Country : US
Telephone Number : 561-201-6272
Fax Number :
Provider Business Practice Location Address
First Line : 506 6TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11215-3609
Country : US
Telephone Number : 718-780-3148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2019
Last Update Date : 12/15/2025

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