Individual
LAEEQ AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3758 108TH ST, CORONA, NY 11368-2023
(718) 592-1616
(718) 592-8165
Mailing address
1025 ISLIP AVE, CENTRAL ISLIP, NY 11722-4819
(631) 234-3800
(718) 418-0886
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
194293
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01502749
—
NY
Enumeration date
09/27/2005
Last updated
08/05/2025
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