Individual
DR. TARIQ WASEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3636 33RD ST STE 306, LONG ISLAND CITY, NY 11106-2329
(844) 403-4325
(424) 625-0010
Mailing address
3636 33RD ST STE 306, LONG ISLAND CITY, NY 11106-2329
(844) 403-4325
(424) 625-0010
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
126149
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00235447
—
NY
01
—
126149
LICENSE
NY
Enumeration date
11/21/2006
Last updated
05/23/2022
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