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Organization
DR. MOHAMED IDRIS MEDICAL PC
Active
Organization
DR. MOHAMED IDRIS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED HUSSEIN IDRIS M.D. (OWNER)
(516) 582-8356
Entity
Organization
Contact information
Practice address
55 N MAIN ST, FREEPORT, NY 11520-2243
(516) 538-0295
(516) 538-0296
Mailing address
27 BALFOUR DR, BETHPAGE, NY 11714-5527
(516) 538-0295
(516) 538-0296
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
228816
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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