Individual
BEHZAD BEN BIDADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19 BRADHURST AVE, SUITE 1400, HAWTHORNE, NY 10532-2140
(914) 594-2222
(914) 594-2221
Mailing address
PO BOX 1020, HAWTHORNE, NY 10532-7507
(888) 633-0033
(914) 593-1802
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
106354
MN
207RH0003X
Hematology & Oncology Physician
55559
MN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
279946
NY
Other
Enumeration date
05/19/2009
Last updated
07/29/2015
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