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NPI Code Detail

MEDICARE: DR. MENA YOUSSEF MIKHAIL MD

MEDICARE: DR. MENA YOUSSEF MIKHAIL 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
1207RC0200XCritical Care Medicine (Internal Medicine) PhysicianMD491774PA

General Provider Information

NPI Number : 1629538707
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MENA YOUSSEF MIKHAIL MD
Provider Business Mailing Address
First Line : 475 SEAVIEW AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10305-3436
Country : US
Telephone Number : 718-226-8313
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 : 718-226-8313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2019
Last Update Date : 01/21/2026

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