Organization
GHAZANFAR W. HAIDERY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GHAZANFAR WADE HAIDERY MD (OWNER)
(516) 671-1500
Entity
Organization
Contact information
Practice address
997 GLEN COVE AVE, GLEN HEAD, NY 11545-1593
(516) 676-1500
(516) 759-5946
Mailing address
997 GLEN COVE AVE, GLEN HEAD, NY 11545-1593
(516) 676-1500
(516) 759-5946
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210618
NY
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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