Healthcare Provider Details

I. General information

NPI: 1205229903
Provider Name (Legal Business Name): HJ OBEID MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2015
Last Update Date: 08/12/2021
Certification Date: 08/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 E. CHESTNUT STREET
ROME NY
13440-2866
US

IV. Provider business mailing address

110 E. CHESTNUT STREET
ROME NY
13440-2866
US

V. Phone/Fax

Practice location:
  • Phone: 315-336-8302
  • Fax: 315-339-0958
Mailing address:
  • Phone: 315-336-8302
  • Fax: 315-339-0958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number
License Number State

VIII. Authorized Official

Name: HAMID JOSEPH OBEID
Title or Position: PHYSICIAN/ OWNER
Credential: MD
Phone: 315-336-8302