Individual
MARY HADDADIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 YORK AVE RM C-302, NEW YORK, NY 10065-4805
(212) 746-6464
Mailing address
26531 ESTACIERO DR, MISSION VIEJO, CA 92691
(949) 485-1551
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
Primary
390200000X
NY
Other
Enumeration date
01/08/2020
Last updated
01/08/2020
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