Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 254487 | NY |
NPI | 1275760100 |
---|---|
Provider Name | Dr. Mohammed Abdul-Aleem Hadi |
First Address | Levittown, NY 11756-3718 |
Second Address | Levittown, NY 11756-3718 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2009 |
Last Update Date | 27/09/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03460006 | (05) | NY |