Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 145455-1 | NY |
N | 2080P0214X | Pediatric Pulmonologist | 145455 | NY |
Y | 2080P0214X | Pediatric Pulmonologist | 145455-1 | NY |
NPI | 1578695987 |
---|---|
Provider Name | Hadi M. Jabbar |
First Address | New York, NY 10087-7842 |
Second Address | Flushing, NY 11355 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/03/2007 |
Last Update Date | 09/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00765513 | (05) | NY |
C67047 | (02) | NY |