| Dr Walid Hanafi, MD | |
|
2497 State Highway 30, Mayfield, NY 12117-3495 | |
| (518) 661-5725 | |
| (518) 661-7606 |
| Full Name | Dr Walid Hanafi |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 2497 State Highway 30, Mayfield, 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 |
|---|---|---|---|
| 1598010530 | NPI | - | NPPES |
| 03521097 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 268291 (New York) | Secondary |
| 208000000X | Pediatrics | 268921 (New York) | Primary |
| Entity Name | Mvhs Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
| Entity Name | Emergency Physician Services Of New York, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093759847 PECOS PAC ID: 8325939804 Enrollment ID: O20040901000528 |
| Entity Name | Emergency Care Services Of New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639236656 PECOS PAC ID: 3678678646 Enrollment ID: O20070419000474 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477899078 PECOS PAC ID: 2264691070 Enrollment ID: O20130717000798 |
| Entity Name | North Shore Lij Urgent Care Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060 |
| Entity Name | Icahn School Of Medicine At Mount Sinai |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679083984 PECOS PAC ID: 6103251491 Enrollment ID: O20200114002920 |
| Entity Name | Physicians Medical Associates New York Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073386421 PECOS PAC ID: 7618310368 Enrollment ID: O20240209000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Walid Hanafi, MD 99 E State St, Po Box 1250, Gloversville, NY 12078-1203 Ph: (518) 661-5725 | Dr Walid Hanafi, MD 2497 State Highway 30, Mayfield, NY 12117-3495 Ph: (518) 661-5725 |