Individual
AMANDA HAFEEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
222 STATION PLZ N STE 518, MINEOLA, NY 11501
(516) 663-2052
Mailing address
222 STATION PLZ N STE 518, MINEOLA, NY 11501-3893
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
280763
NY
208M00000X
Hospitalist Physician
280763
NY
390200000X
Student in an Organized Health Care Education/Training Program
280763
NY
Other
Enumeration date
04/24/2012
Last updated
03/03/2021
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