Individual
MASOOM QADEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1755 DEER PARK AVE, DEER PARK, NY 11729-5207
(631) 281-7246
(631) 629-4477
Mailing address
PO BOX 2661, HUNTINGTON STATION, NY 11746-0515
(631) 281-7246
(631) 629-4477
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
197780
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
197780
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01582076
—
NY
Enumeration date
06/18/2006
Last updated
03/11/2014
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