| Adib Alhaddad, Md, Pllc | |
|
466 Bay Ridge Ave Brooklyn NY 11220-5906 | |
| (718) 491-2003 | |
| (718) 491-2007 |
| Full Name | Adib Alhaddad, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 466 Bay Ridge Ave, Brooklyn, New York |
| Authorized Official Name and Position | Adib Alhaddad (MD) |
| Authorized Official Contact | 9174704378 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adib Alhaddad, Md, Pllc 82 77th St Brooklyn NY 11209-2919 Ph: (917) 470-4378 | Adib Alhaddad, Md, Pllc 466 Bay Ridge Ave Brooklyn NY 11220-5906 Ph: (718) 491-2003 |
| NPI Number | 1114357050 |
|---|---|
| Provider Enumeration Date | 11/13/2013 |
| Last Update Date | 04/03/2023 |
| Medicare PECOS PAC ID | 0840429262 |
|---|---|
| Medicare Enrollment ID | O20140206000331 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114357050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 250517 (New York) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 250517 (New York) | Primary |
| Provider Name | Adib Alhaddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124118831 PECOS PAC ID: 7416959085 Enrollment ID: I20070210000121 |
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