Individual
NEIL FLANNERY HAIDORFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3450 WAYNE AVE APT 9C, BRONX, NY 10467-2511
(240) 462-3165
Mailing address
3450 WAYNE AVE APT 9C, BRONX, NY 10467-2511
(240) 462-3165
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
S1114
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
06/18/2015
Last updated
07/08/2019
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