Medical Office of Fawzy Wasfy Salama PLLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

197603 Issued in NY

Legal business name

MEDICAL OFFICE OF FAWZY WASFY SALAMA PLLC

Practice address

175 Jericho Tpke
Suite 411
Syosset, NY 11791-4532

Phone

(516) 558-7353

Fax

(631) 893-4020

NPI assigned

Oct 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Debra Coane

Title

Office Manager

Phone

(631) 681-4754

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1444867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444867200000",
    "number": "1467823443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 411",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "SUITE 411",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914532",
            "telephone_number": "516-558-7353",
            "fax_number": "631-893-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL OFFICE OF FAWZY WASFY SALAMA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-15",
        "last_updated": "2015-10-15",
        "status": "A",
        "authorized_official_last_name": "COANE",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-681-4754"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NY",
            "license": "197603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Mary McCormick
• Erin D McGlew, SLP-CF
• Kristen McKasty, NP
• Heather McMullen, MD
• Kelly McNamee, M.S.
• Medstar Surgical & Breathing Equipment, Inc.
• Adrian Mei, MD
• Michele Marie Meinck, MA, OTR
• Edna Mejia, LMSW
• Emely Julissa Mejia

• Addiction Medicine (Psychiatry & Neurology) Physician in Syosset, NY
• Providers in Syosset, NY by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.