Individual
YAMA QADERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
292 PARKSIDE AVE, MILLER PLACE, NY 11764-3521
(631) 849-5281
Mailing address
600 COMMUNITY DR STE 304, MANHASSET, NY 11030-3818
(516) 823-8855
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
011196
NY
Other
Enumeration date
07/18/2008
Last updated
01/11/2011
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