Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 106354 | MN |
N | 207RH0003X | Hematology & Oncology | 55559 | MN |
Y | 2080P0207X | Pediatric Hematology-Oncologist | 279946 | NY |
NPI | 1275768343 |
---|---|
Provider Name | Behzad Ben Bidadi |
First Address | Hawthorne, NY 10532-7507 |
Second Address | Hawthorne, NY 10532-2140 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2009 |
Last Update Date | 29/07/2015 |