MEDICARE: DR. NAGUI EMILE ADEEB M.D.

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
1	208800000X	Urology Physician	114547	NY

General Provider Information

NPI Number	:	1760463475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAGUI EMILE ADEEB M.D.

Provider Business Mailing Address
First Line	:	11075 W CENTER STREET EXT
Second Line	:
City	:	MEDINA
State	:	NY
Zip	:	14103-9557
Country	:	US
Telephone Number	:	585-798-0286
Fax Number	:	585-798-4584

Provider Business Practice Location Address
First Line	:	11075 W CENTER STREET EXT
Second Line	:
City	:	MEDINA
State	:	NY
Zip	:	14103-9557
Country	:	US
Telephone Number	:	585-798-0286
Fax Number	:	585-798-4584

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2005
Last Update Date	:	05/21/2010

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