Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 211336 | NY |
NPI | 1295786150 |
---|---|
Provider Name | Dr. Nameer Haider |
First Address | Utica, NY 13502-5178 |
Second Address | Utica, NY 13502-5178 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 20/05/2014 |