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Organization
ABUL SHAHIDULLAH, M. D., MEDICAL OFFICE
Active
Organization
ABUL SHAHIDULLAH, M. D., MEDICAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABUL SHAHIDULLAH M. D. (OWNER)
(718) 366-7999
Entity
Organization
Contact information
Practice address
62 65 FOREST AVE, RIDGEWOOD, NY 11385-2001
(718) 366-7999
(718) 366-6468
Mailing address
899 WOODMERE DR, VALLEY STREAM, NY 11581-2735
(718) 366-7999
(718) 366-6468
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
187626
NY
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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