Individual
DR. AZIZ BASEM NICHOLAS QANDAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
83 GENESEE ST, NEW HARTFORD, NY 13413-2472
(315) 792-7629
(315) 266-1326
Mailing address
86 GENESEE ST, NEW HARTFORD, NY 13413-2389
(315) 792-7629
(315) 792-3617
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
272547
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03786041
—
NY
Enumeration date
09/24/2008
Last updated
03/22/2018
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