Individual
DR. ABDUL QADIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
130 CENTERWAY, CORNING, NY 14830
(607) 936-9971
(607) 936-2600
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
142784-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011791900002
—
PA
05
—
00689318
—
NY
01
—
370019261
RR MEDICARE PIN
NY
01
—
CC8362
RR MEDICARE GROUP
NY
Enumeration date
02/13/2006
Last updated
09/16/2011
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