Individual
DR. MOHANED ADIL AL-HUMADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
515 MAIN ST, OLEAN, NY 14760-1513
(716) 701-1510
(716) 701-1517
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
257934
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03383617
—
NY
Enumeration date
06/06/2008
Last updated
07/21/2022
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