Individual
FARDIN AKBAR HYDERI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
70 E SUNRISE HWY STE 605, VALLEY STREAM, NY 11581-1233
(718) 295-6000
Mailing address
14021 173RD ST, JAMAICA, NY 11434-4625
(646) 886-5971
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
P125309
NY
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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