Provider Demographics
NPI:1861690281
Name:TOUFIC SAFA, MD PC
Entity type:Organization
Organization Name:TOUFIC SAFA, MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOUFIC
Authorized Official - Middle Name:KASSEM
Authorized Official - Last Name:SAFA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:516-466-6760
Mailing Address - Street 1:1010 NORTHERN BLVD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5306
Mailing Address - Country:US
Mailing Address - Phone:516-466-6760
Mailing Address - Fax:516-466-6776
Practice Address - Street 1:1010 NORTHERN BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5306
Practice Address - Country:US
Practice Address - Phone:516-466-6760
Practice Address - Fax:516-466-6776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-06
Last Update Date:2008-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY201243174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
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