Individual
HAMID JAVIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11 WHITES LANE, AQUEBOGUE, NY 11931
(631) 722-5506
Mailing address
11 WHITES LANE, AQUEBOGUE, NY 11931
(631) 722-5506
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
136191
NY
Other
Enumeration date
07/25/2017
Last updated
07/21/2022
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