Individual
MR. BASHIR ABDUL-WADUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5 PALISADES DR STE 100, ALBANY, NY 12205-6433
(518) 438-4496
(518) 438-5803
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
(518) 649-4094
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA057997
PA
363AM0700X
Medical Physician Assistant
1876
MA
Other
Enumeration date
07/16/2006
Last updated
05/06/2025
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