Qadeer, Masoom

Qadeer, Masoom is an individual health care provider with primary practice located at 1755 Deer Park Ave , Deer Park NY 11729-5207. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Qadeer, Masoom can be contacted via phone (631) 281-7246.

Contact Information

Primary practice address
1755 Deer Park Ave Deer Park NY 11729-5207
Phone: (631) 281-7246
Fax: (631) 629-4477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 197780 New York
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 197780 New York

Profile Details

NPI number 1144265760
LBN Legal business name Qadeer, Masoom
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Mar 11th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144265760 NPPES
New York MEDICAID 01582076

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