Provider Demographics
NPI:1518043884
Name:HAFEEZ, WASEEM (MD)
Entity Type:Individual
Prefix:DR
First Name:WASEEM
Middle Name:
Last Name:HAFEEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:WASEEM
Other - Middle Name:
Other - Last Name:HAFEEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MB,BS
Mailing Address - Street 1:3 DEBRA CT
Mailing Address - Street 2:
Mailing Address - City:NEW CITY
Mailing Address - State:NY
Mailing Address - Zip Code:10956-6532
Mailing Address - Country:US
Mailing Address - Phone:718-920-5312
Mailing Address - Fax:718-798-6485
Practice Address - Street 1:MMC - EMERGENCY MEDICINE
Practice Address - Street 2:111 EAST 210TH STREET
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-5312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1773932080P0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine