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Organization
GHAZANFAR W. HAIDERY MD PC
Active
Organization
GHAZANFAR W. HAIDERY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHAZANFAR WADE HAIDERY MD (OWNER)
(516) 671-1500
Entity
Organization
Contact information
Practice address
997 GLEN COVE AVE, GLEN HEAD, NY 11545-1593
(516) 676-1500
(516) 759-5946
Mailing address
997 GLEN COVE AVE, GLEN HEAD, NY 11545-1593
(516) 676-1500
(516) 759-5946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210618
NY
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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