| Ghazanfar W. Haidery Md Pc | |
|
997 Glen Cove Ave Glen Head NY 11545-1593 | |
| (516) 676-1500 | |
| (516) 759-5946 |
| Full Name | Ghazanfar W. Haidery Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 997 Glen Cove Ave, Glen Head, New York |
| Authorized Official Name and Position | Ghazanfar Wade Haidery (OWNER) |
| Authorized Official Contact | 5166711500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ghazanfar W. Haidery Md Pc 997 Glen Cove Ave Glen Head NY 11545-1593 Ph: (516) 676-1500 | Ghazanfar W. Haidery Md Pc 997 Glen Cove Ave Glen Head NY 11545-1593 Ph: (516) 676-1500 |
| NPI Number | 1619141645 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Medicare PECOS PAC ID | 4284692906 |
|---|---|
| Medicare Enrollment ID | O20041228000927 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619141645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 210618 (New York) | Primary |
| Provider Name | Ghazanfar W Haidery |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801974159 PECOS PAC ID: 4082650312 Enrollment ID: I20050707001010 |
| Provider Name | Sangeeta D Ahuja |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366485294 PECOS PAC ID: 6901904242 Enrollment ID: I20070609000005 |
| Provider Name | Stephanie F Bernik |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366577769 PECOS PAC ID: 7810058179 Enrollment ID: I20081204000565 |
| Provider Name | Ethan John Liebler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770677809 PECOS PAC ID: 1052308608 Enrollment ID: I20150716000153 |
Gail Lowenstein, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Carol Ln, Glen Head, NY 11545 Phone: 516-236-3204 Fax: 516-626-7685 | |
T.ravishankar Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 997 Glen Cove Ave, Glen Head, NY 11545 Phone: 516-674-9144 Fax: 516-674-4024 | |
Michael B Capobianco Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Park Plz Ste 1, Glen Head, NY 11545 Phone: 516-801-0334 |