Basic Information
Provider Information
NPI: 1659576361
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KADIRE
FirstName: BUHALQEM
MiddleName: H
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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Mailing Information
Address1: MOUNT SINAI PATHOLOGY HOSPITALISTS
Address2: PO BOX 5024
City: NEW YORK
State: NY
PostalCode: 100870001
CountryCode: US
TelephoneNumber: 2127317771
FaxNumber: 2125347491
Practice Location
Address1: 355 BARD AVE
Address2: RICHMOND UNIVERSITY MEDICAL CENTER
City: STATEN ISLAND
State: NY
PostalCode: 103101664
CountryCode: US
TelephoneNumber: 7188181060
FaxNumber: 7188181890
Other Information
ProviderEnumerationDate: 06/21/2007
LastUpdateDate: 10/07/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207ZP0102X260652NYY Allopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology

No ID Information.


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