Imran Wahedna M.d P.c

NPI #1104051713 in East Northport, New York

Provider Information

NPI Number: 1104051713
Entity Type: Organization
Organization Name: Imran Wahedna M.d P.c
Primary Specialty: Specialist
Enumeration Date: May 27, 2009
Last Updated: Jun 24, 2009

Practice Location

Address: 4 HARTON CT
City: East Northport
State: New York
ZIP Code: 11731-5923
Phone: (631) 623-6076

Authorized Official

Name: DR. IMRAN WAHEDNA, MD
Title: OWNER
Phone: (631) 623-6076

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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