Provider Demographics
NPI:1356694269
Name:ABDUL-HAKI ISSAH, MD, P.C.
Entity type:Organization
Organization Name:ABDUL-HAKI ISSAH, MD, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ABDUL-HAKI
Authorized Official - Middle Name:
Authorized Official - Last Name:ISSAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:212-828-7700
Mailing Address - Street 1:75 E 116TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-1150
Mailing Address - Country:US
Mailing Address - Phone:212-828-7700
Mailing Address - Fax:
Practice Address - Street 1:75 E 116TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-1150
Practice Address - Country:US
Practice Address - Phone:212-828-7700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-17
Last Update Date:2012-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty