Individual
DR. HEITHAM WADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5100 W TAFT RD STE 1C, LIVERPOOL, NY 13088-3808
(315) 634-3399
(315) 634-3481
Mailing address
5100 W TAFT RD STE 1C, LIVERPOOL, NY 13088-3808
(315) 634-3399
(315) 634-3481
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
329224
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07989137
—
NY
Enumeration date
03/28/2018
Last updated
08/12/2026
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