Individual
HAFSA U MEMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4046
(631) 273-3080
(631) 435-7982
Mailing address
3 TECHNOLOGY DR STE 100, EAST SETAUKET, NY 11733-4046
(631) 273-3080
(631) 435-7982
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
51833
TN
207V00000X
Obstetrics & Gynecology Physician
52000
MN
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
287426
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04780925
—
NY
05
—
ENROLLED
—
MN
Enumeration date
01/07/2008
Last updated
01/02/2024
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