Provider Demographics
NPI:1285973438
Name:IRFAN A ALLADIN, MD PC
Entity type:Organization
Organization Name:IRFAN A ALLADIN, MD PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAM
Authorized Official - Middle Name:
Authorized Official - Last Name:RAHAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-225-0732
Mailing Address - Street 1:P.O. BOX 529
Mailing Address - Street 2:
Mailing Address - City:BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-4451
Mailing Address - Country:US
Mailing Address - Phone:973-225-0732
Mailing Address - Fax:212-671-1414
Practice Address - Street 1:2901 BAYVIEW AVE
Practice Address - Street 2:
Practice Address - City:BALDWIN
Practice Address - State:NY
Practice Address - Zip Code:11510-4451
Practice Address - Country:US
Practice Address - Phone:973-225-0732
Practice Address - Fax:212-671-1414
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty