NPI 1003795998

Ethan Joel Haddad

Practitioner Student in an Organized Health Care Education/Training Program Forest Hills, NY

Practice location

Address: 11655 Queens Blvd STE 216, Forest Hills, NY 11375-6527
Phone: (212) 804-7659

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003795998
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Aug 2025
Record last updated: 27 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.