Provider Demographics
NPI:1366941668
Name:YOUSSEF, SAFWAT ATTIA (MD)
Entity type:Individual
Prefix:MR
First Name:SAFWAT
Middle Name:ATTIA
Last Name:YOUSSEF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:25 SUNRISE TERRACE
Mailing Address - Street 2:STATEN ISLAND
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10304
Mailing Address - Country:US
Mailing Address - Phone:718-816-5403
Mailing Address - Fax:718-816-5403
Practice Address - Street 1:25 SUNRISE TERRACE
Practice Address - Street 2:STATEN ISLAND
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10304
Practice Address - Country:US
Practice Address - Phone:718-816-5403
Practice Address - Fax:718-816-5403
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-02
Last Update Date:2018-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY145667207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery