Imran Wahedna M.d P.c

NPI 1104051713 - Specialist - 174400000X

NPI Details
NPI 1104051713
Enumeration Date 05/27/2009
Last Updated 06/24/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name IMRAN IMRAN
Position OWNER
Phone (631) 623-6076
Fax
Practice Location
4 HARTON CT
EAST NORTHPORT NY, 11731-5923, US
Phone (631) 623-6076
Fax
Business Location
4 HARTON CT
EAST NORTHPORT NY, 11731-5923, US
Phone
Fax
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Imran Wahedna M.d P.c NPI is 1104051713, taxonomy code is 174400000X Imran Wahedna M.d P.c physically located at 4 Harton Ct, East Northport NY, 11731-5923. NPI Number 1033115704 has the healthcare provider type.

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1104051713 NPI number is provided on an as is basis without warranty of any kind. 1104051713 is maintained by the National Plan & Provider Enumeration System. The contents of Imran Wahedna M.d P.c are for informational purposes only.