Individual
HIDEO TAKAHASHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 S CENTRAL AVE, VALLEY STREAM, NY 11580-5443
(516) 632-3359
(516) 632-3355
Mailing address
1 S CENTRAL AVE, VALLEY STREAM, NY 11580-5443
(516) 632-3359
(516) 632-3355
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
292639
NY
Other
Enumeration date
07/08/2013
Last updated
10/05/2020
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