Individual ProviderRohail HaiderInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address14014 Cherry Ave, Flushing, NY 11355-3025(718) 886-0355(516) 643-6067PECOS EnrollmentBased on the most recent information from CMS, provider Rohail Haider is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1235626433Provider TypeIndividualFull NameHaider, RohailTitleDr.CredentialDOGenderMaleSole ProprietorYesEnumeration Date4/13/2018Last Updated11/22/2021Contact InformationPractice LocationPractice Address14014 Cherry Ave, Flushing, NY 11355-3025Phone(718) 886-0355FaxUnlisted FaxMailing LocationMailing Address1 Waverly Rd, Old Westbury, NY 11568-1225Phone(516) 643-6067FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense311605New YorkProvider IdentifiersIDDescriptionIssuerIDG400766011DescriptionMedicaidIssuerUnlistedNew York