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Organization

IV LEAGUE MEDICAL PLLC

Active
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Organization

IV LEAGUE MEDICAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AZMATULLAH S HUSSAINI M.D. (PRESIDENT)
(516) 595-9264
Entity
Organization

Contact information

Practice address
185 MERRITTS RD, FARMINGDALE, NY 11735-3254
(516) 595-9264
Mailing address
185 MERRITTS RD, FARMINGDALE, NY 11735-3254
(516) 595-9264

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
261QI0500X
Infusion Therapy Clinic/Center

Other

Enumeration date
09/16/2022
Last updated
09/16/2022
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