GHAZANFAR W. HAIDERY MD PC (NPI# 1619141645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619141645 |
| Entity Type | Organization |
| Organization Name | GHAZANFAR W. HAIDERY MD PC |
| Practice Address |
997 Glen Cove Ave Glen Head NY 11545-1593 |
| Practice Telephone | 5166761500 |
| Practice Fax Number | 5167595946 |
| Mailing Telephone | 5166761500 |
| Mailing Fax Number | 5167595946 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | DR. GHAZANFAR WADE HAIDERY (OWNER) |
| Authorized Official Telephone | 5166711500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 210618 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
997 GLEN COVE AVE |
| City | GLEN HEAD |
| State | NY |
| Zip Code | 11545-1593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773010 | Michael I Gurevich | Psychiatry & Neurology | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2005-07-10 |
| 1598315087 | Sherry Xie | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2019-09-17 |
| 1497205173 | Larissa Gourdet | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2016-10-06 |
| 1487999017 | Nancy H Larson | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2012-12-08 |
| 1538442256 | Tia Trivisonno | Acupuncturist | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2011-09-20 |
| 1790928026 | Shreyas T Ravishankar | Internal Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2009-04-16 |
| 1861683963 | Suhu Natural Health | Clinic/Center | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2007-08-05 |
| 1588726426 | T.ravishankar Md PC | Internal Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2006-12-15 |
| 1972674067 | Nina Gurevich | Psychiatry & Neurology | 997 Glen Cove Ave, Glen Head, NY 11545 | 2006-11-13 |
| 1801974159 | Ghazanfar W Haidery | Family Medicine | 997 Glen Cove Ave, Glen Head, NY 11545 | 2006-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896350 | Ian Persits | Student in an Organized Health Care Education/Training Program | Hannah and Charles Serota Academic Center, Glen Head, NY 11545 | 2020-03-13 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1992237994 | Humaira Ali | Student in an Organized Health Care Education/Training Program | 214 Brookville Road, Glen Head, NY 11545 | 2017-03-29 |
| 1659727006 | Ana Wegmann | Specialist | 17 Chapel Gate Lane, Glen Head, NY 11545 | 2016-05-04 |
| 1427452226 | Jane Zwilling | Psychologist | 11 Wenwood Drive, Brookville, NY 11545 | 2014-10-22 |
| 1619387354 | Gillian Meketansky | Speech-Language Pathologist | 101 Northern Blvd, Glen Hed, NY 11545 | 2014-05-03 |
| 1174861819 | Monique A. Vaccaro | Speech-Language Pathologist | 36 Cherry Street, Glen Head, NY 11545 | 2013-01-30 |
| 1467704676 | Lisette Perez | Licensed Practical Nurse | 189 Wheatley Rd., Brookville, NY 11545 | 2012-10-11 |
| 1952666323 | Catherine Forsander | Specialist | 14 Hillside Avenue, Glen Head, NY 11545 | 2012-07-11 |
| Find all providers in zip 11545 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619263746 | Noor Ul Ain Hashmi | Family Medicine | 4 Farmwoods Ln, Glen Head, NY 11545-2730 | 2011-06-27 |
| 1801974159 | Ghazanfar W Haidery | Family Medicine | 997 Glen Cove Ave, Glen Head, NY 11545 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.