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NPI Code Detail

MEDICARE: MARWENHASSAN EID MD

MEDICARE: MARWENHASSAN EID 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
1207R00000XInternal Medicine Physician314221NY

General Provider Information

NPI Number : 1417444266
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARWENHASSAN EID MD
Provider Business Mailing Address
First Line : 475 SEAVIEW AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-3436
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 475 SEAVIEW AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-3436
Country : US
Telephone Number : 718-226-6205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2018
Last Update Date : 03/20/2026

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Directions to “ MARWENHASSAN EID MD” Practice Location

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