1861690281 NPI number — TOUFIC SAFA, MD PC

Table of content: (NPI 1861690281)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1861690281 NPI number — TOUFIC SAFA, MD PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
TOUFIC SAFA, MD PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1861690281
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/16/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1010 NORTHERN BLVD
Provider Second Line Business Mailing Address:
SUITE 140
Provider Business Mailing Address City Name:
GREAT NECK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
11021-5306
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
516-466-6760
Provider Business Mailing Address Fax Number:
516-466-6776

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1010 NORTHERN BLVD
Provider Second Line Business Practice Location Address:
SUITE 140
Provider Business Practice Location Address City Name:
GREAT NECK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11021-5306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
516-466-6760
Provider Business Practice Location Address Fax Number:
516-466-6776
Provider Enumeration Date:
07/06/2007

Additional Information

Authorized Official

Authorized Official Last Name:
SAFA
Authorized Official First Name:
TOUFIC
Authorized Official Middle Name:
KASSEM
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
516-466-6760

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  201243 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 215251794 . This is a "CIGNA HMO POS" identifier . This identifiers is of the category "OTHER".
  • Identifier: NS0002629 . This is a "SELECTPRO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 215251794 . This is a "PHCS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 97E241 . This is a "EMPIRE HEALTHCHOICE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 0975075 . This is a "AETNA HMO POS" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1469683 . This is a "UNITED HEALTHCARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 215251794 . This is a "HORIZON HMO PPO EPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 4C0504 . This is a "HEALTHNET" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 80658 . This is a "VYTRA" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 01754416 , issued by the state of ( NY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 6015049 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 201243-A32 . This is a "HEALTHFIRST" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 3257243001 . This is a "CIGNA PPO EPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 010201243NY01 . This is a "ANTHEM" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 1321569 . This is a "FIRST HEALTH" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 215251794 . This is a "BEECH STRET PPO EPO" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: 215251794 . This is a "MAGNACARE" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".
  • Identifier: P688442 . This is a "OXFORD" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




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