Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 142238 | NY |
Y | 207RH0003X | Hematology & Oncology | 142238 | NY |
N | 207RX0202X | Medical Oncology | 142238 | NY |
NPI | 1093778458 |
---|---|
Provider Name | Tauseef Ahmed |
First Address | Hawthorne, NY 10532-2140 |
Second Address | Poughkeepsie, NY 12601-1359 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2006 |
Last Update Date | 07/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00787971 | (05) | NY |
C04418 | (02) | NY |