Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 279603 | NY |
NPI | 1003173527 |
---|---|
Provider Name | Dr. Syed Hasan Iqbal |
First Address | Great Neck, NY 11021-5305 |
Second Address | Great Neck, NY 11021 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2012 |
Last Update Date | 10/07/2018 |