MEDICARE: DR. AHMAD HADID MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	194185	NY
2	207RC0000X	Cardiovascular Disease Physician	194185	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	060041860	OTHER	NY	RAIL ROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	232683K222	OTHER	NY	PTAM
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558364414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AHMAD HADID MD

Provider Business Mailing Address
First Line	:	19 BRADHURST AVE STE 3100N
Second Line	:
City	:	HAWTHORNE
State	:	NY
Zip	:	10532-2140
Country	:	US
Telephone Number	:	914-909-9018
Fax Number	:	914-909-9028

Provider Business Practice Location Address
First Line	:	575 HUDSON VALLEY AVE
Second Line	:	STE 200
City	:	NEW WINDSOR
State	:	NY
Zip	:	12553-4746
Country	:	US
Telephone Number	:	845-561-2773
Fax Number	:	914-593-7881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	04/22/2021

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Practice Location Address:

575 HUDSON VALLEY AVE , STE 200
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Directions to “ DR. AHMAD HADID MD” Practice Location

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