Individual
DR. HENGAMEH ARDALAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5755 HEWLETT ST, LITTLE NECK, NY 11362-2230
(718) 576-1999
(718) 423-2511
Mailing address
5755 HEWLETT ST, LITTLE NECK, NY 11362-2230
(718) 576-1999
(718) 423-2511
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
232399
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02568394
—
NY
Enumeration date
06/24/2006
Last updated
05/19/2013
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