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Organization
BASHIR AHMED, M.D. PLLC
Active
Organization
BASHIR AHMED, M.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BASHIR AHMED MD (PRESIDENT)
(631) 320-3053
Entity
Organization
Contact information
Practice address
1305 MIDDLE COUNTRY RD, SUITE #2, SELDEN, NY 11784-2554
(631) 320-3053
Mailing address
1305 MIDDLE COUNTRY RD, SUITE #2, SELDEN, NY 11784-2554
(631) 320-3053
(631) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
06/11/2014
Last updated
09/23/2015
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