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Individual

DR. WAHID RASHIDZADA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
595 ROUTE 25A STE 2, MILLER PLACE, NY 11764
(631) 238-8271
(631) 532-1908
Mailing address
595 ROUTE 25A STE 2, MILLER PLACE, NY 11764-2648
(631) 238-8271
(631) 532-1908

Taxonomy

Speciality
Code
Description
License number
State
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
273165-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1346416021
MO
05
200613180A
KS
Enumeration date
05/02/2008
Last updated
04/06/2020
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