| Dr Michael Wagih Awadallah, DDS, MD | |
|
17411 Horace Harding Expy, Fresh Meadows, NY 11365-1527 | |
| (718) 670-1060 | |
| (718) 357-0194 |
| Full Name | Dr Michael Wagih Awadallah |
|---|---|
| Gender | Male |
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 17411 Horace Harding Expy, Fresh Meadows, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205273117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 058715 (New York) | Primary |
| Entity Name | Weill Medical College Of Cornell |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669579017 PECOS PAC ID: 6800709023 Enrollment ID: O20040501000028 |
| Entity Name | New York Queens Medicine And Surgery, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003114851 PECOS PAC ID: 4082883673 Enrollment ID: O20110817000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Wagih Awadallah, DDS, MD 525 E 68th St Fl 24, New York, NY 10065-4870 Ph: (212) 746-4180 | Dr Michael Wagih Awadallah, DDS, MD 17411 Horace Harding Expy, Fresh Meadows, NY 11365-1527 Ph: (718) 670-1060 |
Dr. Kavin Patel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18801 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-454-4444 | |
Dr. Jeffrey Ng, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18801 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-454-4444 | |
Artur Bababekov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16814 77th Rd, Fresh Meadows, NY 11366 Phone: 917-498-5545 | |
Dr. William Phillip Gross, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6532 170th St, Fresh Meadows, NY 11365 Phone: 718-358-5456 Fax: 718-358-5456 | |
Dr. George Jordan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18505 Booth Memorial Ave, Fresh Meadows, NY 11365 Phone: 718-357-5332 Fax: 718-357-5757 | |
Dr. John Joseph Costandi, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 17411 Horace Harding Expy, Fresh Meadows, NY 11365 Phone: 718-670-1060 |