Provider Demographics
NPI:1871590406
Name:HAIMI, JOSEPH SHAYANI (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SHAYANI
Last Name:HAIMI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:43-70 KISSENA BLVD
Mailing Address - Street 2:STE 1-K
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355
Mailing Address - Country:US
Mailing Address - Phone:718-353-6724
Mailing Address - Fax:718-353-5590
Practice Address - Street 1:43-70 KISSENA BLVD
Practice Address - Street 2:STE 1-K
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355
Practice Address - Country:US
Practice Address - Phone:718-353-6724
Practice Address - Fax:718-353-5590
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY164883208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01135322Medicaid