Individual
MR. SYED HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
16806 HILLSIDE AVE, JAMAICA, NY 11432-4341
(718) 739-7400
Mailing address
1759 POWERS AVE, EAST MEADOW, NY 11554-3935
(516) 368-4433
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0163041
NY
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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