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Individual

ANEESUDDIN SYED HASHMI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., O.D.

Contact information

Practice address
482 86TH ST, BROOKLYN, NY 11209-4708
(917) 514-8569
(718) 238-2148
Mailing address
571 CARLTON BLVD, STATEN ISLAND, NY 10312
(718) 227-8810
(718) 227-8810

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OA05663
NJ
152W00000X
Optometrist
T006103
NY
207R00000X
Internal Medicine Physician
Primary
25MA08733200
NJ
207R00000X
Internal Medicine Physician
MD440545
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02010162
NY
Enumeration date
06/13/2006
Last updated
01/04/2011
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