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Individual

DR. ABU TAHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
634 SCHENECTADY AVE, BROOKLYN, NY 11203-1821
(718) 339-8950
(718) 339-8953
Mailing address
52 HEYWOOD ST, NEW HYDE PARK, NY 11040-2412
(917) 687-8592
(718) 339-8950

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
211161
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
211161
NY
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
211161
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01879092
NY
Enumeration date
10/24/2006
Last updated
09/14/2015
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