Organization Name: | LATIF A SHAIKH PC |
NPI Number: | 1023280633 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LATIF A SHAIKH (PRESIDENT) |
Mailing Address: | 257 E 1st St Corning |
State: | NY US |
Postal Code: | 148302924 |
Phone Number: | 6079364679 |
Fax Number: | 6079364670 |
NPI Enumeration Date: | 03/25/2008 |
NPI Last Update Date: | 08/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 130124 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |