Organization
ADIL H AL-HUMADI, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADIL H AL-HUMADI M.D. (PRESIDENT)
(716) 372-9629
Entity
Organization
Contact information
Practice address
2223 W STATE ST, SUITE 117, OLEAN, NY 14760-1938
(716) 372-9629
(716) 372-9638
Mailing address
2223 W STATE ST, SUITE 117, OLEAN, NY 14760-1938
(716) 372-9629
(716) 372-9638
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
120097-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010001801
UNIVERA
NY
01
—
000506398001
BLUE CROSS/BLUE SHIELD
NY
01
—
001304052
BLUE SHIELD OF PA
PA
05
—
00604480
—
NY
01
—
1401542
INDEPENDENT HEALTH
NY
01
—
283015003
TRAVELERS MEDICAER
NY
Enumeration date
03/06/2012
Last updated
03/06/2012
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