Individual
DR. OMID HAKIMIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
75-54 METROPOLITAN AVENUE, 2ND FLOOR, MIDDLE VILLAGE, NY 11379
(718) 894-4200
(718) 416-4471
Mailing address
75-54 METROPOLITAN AVENUE, 2ND FLOOR, MIDDLE VILLAGE, NY 11379
(718) 769-5158
(718) 646-4087
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
207562
NY
208800000X
Urology Physician
207562-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02164730
—
NY
01
—
207562
LICENSE #
NY
Enumeration date
09/25/2005
Last updated
02/19/2015
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