| Imran Wahedna, M.d., P.c. | |
|
40 Hamlet Woods Dr Saint James NY 11780-3167 | |
| (631) 271-9151 | |
| Not Available |
| Full Name | Imran Wahedna, M.d., P.c. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 40 Hamlet Woods Dr, Saint James, New York |
| Authorized Official Name and Position | Imran Wahedna (OWNER) |
| Authorized Official Contact | 6312719151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Imran Wahedna, M.d., P.c. 40 Hamlet Woods Dr Saint James NY 11780-3167 Ph: (631) 271-9151 | Imran Wahedna, M.d., P.c. 40 Hamlet Woods Dr Saint James NY 11780-3167 Ph: (631) 271-9151 |
| NPI Number | 1538580196 |
|---|---|
| Provider Enumeration Date | 12/30/2013 |
| Last Update Date | 12/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538580196 | NPI | - | NPPES |
| 240356 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 240356 (New York) | Primary |
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