Individual provider · NPI-1

Beshoy Younan Adly, MD

Internal Medicine · Daytona Beach, FL

NPI number1861849010
StatusActive
Last updated in NPPESJun 12, 2019

Details

NPI
1861849010
Entity type
Individual (NPI-1)
Name
Beshoy Younan Adly
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
May 18, 2016
Last updated
Jun 12, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME140902FLYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

301 Memorial Medical Pkwy
Daytona Beach, FL 32117

Phone 386-231-3072 · Fax 386-231-5962

Mailing address

901 Sterthaus Dr
Ormond Beach, FL 32174-5133

Phone 386-231-3072 · Fax 386-231-5962

Other practice locations

111 E 210th St
Bronx, NY 10467-2401

Phone 718-920-9880

111 E 210th St
Bronx, NY 10467-2401

Phone 718-920-9880

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