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NPI Code Detail

MEDICARE: ADNAN HAJDER FNP

MEDICARE: ADNAN HAJDER FNP
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
1363LF0000XFamily Nurse Practitioner854441NY

General Provider Information

NPI Number : 1730019811
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADNAN HAJDER FNP
Provider Business Mailing Address
First Line : 111 HOSPITAL DR
Second Line : ATTN:CREDENTIALING
City : UTICA
State : NY
Zip : 13502-2517
Country : US
Telephone Number : 315-917-9966
Fax Number : 315-234-3998
Provider Business Practice Location Address
First Line : 4401 MIDDLE SETTLEMENT RD
Second Line :
City : NEW HARTFORD
State : NY
Zip : 13413-5331
Country : US
Telephone Number : 315-797-3430
Fax Number : 315-624-4840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2026
Last Update Date : 05/21/2026

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