Organization
INTERNAL MEDICINE HEMATOLOGY AND CANCER CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IFTIKHAR-AHMAD SHAHID CHOUHDRY MD (DIRECTOR)
(845) 292-6151
Entity
Organization
Contact information
Practice address
184 N MAIN ST, LIBERTY, NY 12754-1820
(845) 292-6151
Mailing address
191 RADCLIFF RD, FERNDALE, NY 12734-5306
(845) 292-6804
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
1656122-1
NY
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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