Individual
IBRAHIM HAIDAR-AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
259 1ST STREET, WINTHROP 2 ROOM 291, MINEOLA, NY 11501
(516) 663-8963
(516) 663-8964
Mailing address
700 HICKSVILLE RD STE 205, BETHPAGE, NY 11714-3472
(212) 263-4539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
331964
NY
208M00000X
Hospitalist Physician
Primary
331964
NY
Other
Enumeration date
06/06/2016
Last updated
03/31/2025
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