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Organization
M.Q. ISLAM PHYSICIAN PLLC
Active
Organization
M.Q. ISLAM PHYSICIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED Q ISLAM (MEDICAL DIRECTOR)
(718) 657-8525
Entity
Organization
Contact information
Practice address
20 OLD COURTHOUSE RD, MANHASSET HILLS, NY 11040-1229
(718) 657-8525
Mailing address
16832 HIGHLAND AVE, JAMAICA, NY 11432-2640
(718) 657-8525
(718) 657-8526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36373
NY
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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