Individual
AHSAN WAQAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
3146 78TH ST, EAST ELMHURST, NY 11370-1827
(832) 818-8654
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
290686
MA
Other
Enumeration date
10/27/2016
Last updated
05/21/2025
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