Basic Information
Provider Information
NPI: 1508046632
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: YOUSSEF
FirstName: HANNI GEORGE
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: DOCS MEDICAL PRACTICE OF YONKERS
Address2: 2422 CENTRAL AVENUE
City: YONKERS
State: NY
PostalCode: 10710
CountryCode: US
TelephoneNumber: 9147792995
FaxNumber: 9147793507
Practice Location
Address1: 241 NORTH RD
Address2:  
City: POUGHKEEPSIE
State: NY
PostalCode: 126011154
CountryCode: US
TelephoneNumber: 8454835000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/06/2007
LastUpdateDate: 11/06/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X245754-1NYY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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