Basic Information
| Provider Information | |||||||||
| NPI: | 1750357810 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ALAM | ||||||||
| FirstName: | HYDER | ||||||||
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| Mailing Information | |||||||||
| Address1: | 504 CENTRAL AVE | ||||||||
| Address2: | |||||||||
| City: | DUNKIRK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 140482515 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 504 CENTRAL AVE | ||||||||
| Address2: | |||||||||
| City: | DUNKIRK | ||||||||
| State: | NY | ||||||||
| PostalCode: | 140482515 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7163669008 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2006 | ||||||||
| LastUpdateDate: | 08/24/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0100X | 223561-01 | NY | N | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology | 207R00000X | 223561-01 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.