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Individual

SHEHLA HAQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2605 HARLEM ROAD, ST. JOSEPH'S HOSPITAL, CHEEKTOWAGA, NY 14225
(716) 204-4500
(716) 204-4501
Mailing address
6653 MAIN ST, WILLIAMSVILLE, NY 14221-5906
(716) 204-4500
(716) 204-4501

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
151604-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00913891
NY
Enumeration date
05/20/2006
Last updated
11/06/2007
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