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Organization
MOHAMMED ISMAIL MD PC
Active
Organization
MOHAMMED ISMAIL MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMED ISMAIL MD (OWNER)
(518) 237-0641
Entity
Organization
Contact information
Practice address
46 3RD ST, WATERFORD, NY 12188
(518) 237-0641
(518) 235-6401
Mailing address
46 3RD ST, WATERFORD, NY 12188
(518) 237-0641
(518) 235-6401
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
227997
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02217870
—
NY
Enumeration date
10/12/2006
Last updated
08/23/2011
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