Individual
GHAZANFAR W HAIDERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
997 GLEN COVE AVE, GLEN HEAD, NY 11545
(516) 676-1500
(516) 759-5946
Mailing address
26 GEORGE STREET, ROSLYN HEIGHTS, NY 11577
(516) 676-1500
(516) 676-6063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
210618
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
179962P
HP
—
01
—
P1127871
OXFORD
—
Enumeration date
11/02/2006
Last updated
07/08/2013
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