Individual
ABDUL WAHEED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MADISON AVE, SUITE 2B, ELMIRA, NY 14901-3218
(607) 733-4681
(607) 733-1729
Mailing address
722 W WATER ST, ELMIRA, NY 14905-2435
(607) 271-2050
(607) 271-2099
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
119700-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01447929
—
NY
Enumeration date
08/31/2006
Last updated
07/24/2012
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