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Individual

AMJAD M HAMMAD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
658 MALTA AVE, SUITE #101, MALTA, NY 12020-4105
(518) 580-0553
(518) 580-0557
Mailing address
658 MALTA AVE, SUITE #101, MALTA, NY 12020-4105
(518) 580-0553
(518) 580-0557

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
235752
NY
174400000X
Specialist
Primary
235752-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02654539
NY
Enumeration date
05/25/2006
Last updated
01/29/2015
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