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NPI Code Detail

MEDICARE: RAMY GEORGE GERIS MASSOUD

MEDICARE:   RAMY GEORGE GERIS MASSOUD
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1700586757
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMY GEORGE GERIS MASSOUD
Provider Business Mailing Address
First Line : 6123 217TH ST FL 2
Second Line :
City : OAKLAND GDNS
State : NY
Zip : 11364-2233
Country : US
Telephone Number : 714-988-5145
Fax Number :
Provider Business Practice Location Address
First Line : 6123 217TH ST FL 2
Second Line :
City : OAKLAND GDNS
State : NY
Zip : 11364-2233
Country : US
Telephone Number : 714-988-5145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2023
Last Update Date : 03/08/2023

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Directions to “ RAMY GEORGE GERIS MASSOUD ” Practice Location

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