Individual
AHMED GOLAM HAIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1466 SAINT PETERS AVE, BRONX, NY 10461-3304
(917) 634-9445
(971) 634-9444
Mailing address
125 PAGE RD, VALLEY STREAM, NY 11581-3448
(917) 634-9445
(917) 634-9444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
222682
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02215281
—
NY
Enumeration date
10/31/2006
Last updated
12/17/2015
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