MR. Salem El Mizzawi

NPI #1871077610 in Poughkeepsie, New York

Provider Information

NPI Number: 1871077610
Entity Type: Individual
Name: MR. Salem El Mizzawi
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Sep 18, 2018
Last Updated: Sep 19, 2019

Practice Location

Address: 45 READE PL
City: Poughkeepsie
State: New York
ZIP Code: 12601-3947
Phone: (845) 454-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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