Provider Demographics
NPI:1083055958
Name:TAKAHASHI, HIDEO (MD)
Entity Type:Individual
Prefix:
First Name:HIDEO
Middle Name:
Last Name:TAKAHASHI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-5443
Mailing Address - Country:US
Mailing Address - Phone:516-632-3359
Mailing Address - Fax:516-632-3355
Practice Address - Street 1:1 S CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-5443
Practice Address - Country:US
Practice Address - Phone:516-632-3359
Practice Address - Fax:516-632-3355
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2020-10-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY2926392086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology