Individual
KELLY HAQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 E 68TH ST # M-508, NEW YORK, NY 10065-4870
(212) 746-3017
Mailing address
525 E 68TH ST # M-508, NEW YORK, NY 10065-4870
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
284408
NY
Other
Enumeration date
04/01/2013
Last updated
10/22/2020
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