Healthcare Provider Details

I. General information

NPI: 1255592168
Provider Name (Legal Business Name): DR. NAHEED ALAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

617 CENTRAL AVE
DUNKIRK NY
14048-2529
US

IV. Provider business mailing address

617 CENTRAL AVE
DUNKIRK NY
14048-2529
US

V. Phone/Fax

Practice location:
  • Phone: 716-366-1223
  • Fax: 716-366-6844
Mailing address:
  • Phone: 716-366-1223
  • Fax: 716-366-6844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number280648
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: