Doctor Name: | DR. CHRISTOPHER JACOB AWWAD |
NPI Number: | 1679917249 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.O. |
License Number: | 277162 |
Business Practice Address: | 888 Old Country Rd Plainview, NY - 118034914 |
Business Phone Number: | 5167193000 |
Business Fax Number: | |
Mailing Address: | 888 Old Country Rd, PLAINVIEW |
State: | NY |
Postal Code: | 118034914 |
Phone Number: | 5167193000 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2013 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 277162 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |