Individual
PAYAM HADIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 W BARNEY STREET, FAMILY PRACTICE, GOUVERNEUR, NY 13642
(315) 448-5536
Mailing address
77 W BARNEY ST, GOUVERNEUR, NY 13642, PRIMARY CARE, GOUVERNEUR, NY 13642
(315) 287-1000
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
297301
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/08/2016
Last updated
07/30/2019
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