Individual
AMIN HADOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
TEACHER
Contact information
Practice address
2458 86TH ST, EAST ELMHURST, NY 11369-1033
(917) 603-0372
Mailing address
2458 86TH ST, EAST ELMHURST, NY 11369-1033
(917) 603-0372
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
926501151
NY
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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