Individual
INTIKHAB AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
308 SEAVIEW AVE, STATEN ISLAND, NY 10305-2246
(718) 351-1717
(718) 667-8893
Mailing address
308 SEAVIEW AVE, STATEN ISLAND, NY 10305-2246
(718) 351-1717
(718) 667-8893
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
238270
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
238270
—
NY
Enumeration date
04/02/2007
Last updated
12/29/2015
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