Provider Demographics
NPI:1407812795
Name:WASSEF, CYBELE A (MD)
Entity type:Individual
Prefix:DR
First Name:CYBELE
Middle Name:A
Last Name:WASSEF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:725 BOARDMAN CANFIELD RD
Mailing Address - Street 2:BLDG A SUITE 2
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44512-4380
Mailing Address - Country:US
Mailing Address - Phone:330-629-2726
Mailing Address - Fax:330-629-9927
Practice Address - Street 1:725 BOARDMAN CANFIELD RD
Practice Address - Street 2:BLDG A SUITE 2
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-4380
Practice Address - Country:US
Practice Address - Phone:330-629-2726
Practice Address - Fax:330-629-9927
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-25
Last Update Date:2011-01-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35053878W208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH34161984600OtherWORKERS COMP
OH0654153Medicaid
OH0654153Medicaid
A16766Medicare UPIN