# S.K. BHUIYAN PHYSICIAN, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588752752
- **Authorized official:** DR. MUHAMMAD MOMEN (BILLING MANAGER)
- **Authorized official phone:** (718) 200-0723

## Contact information

- **Practice address:** 4024 76TH ST STE 1AB, ELMHURST, NY 11373-1009
- **Practice address phone:** (718) 812-7866
- **Practice address fax:** (516) 706-6026
- **Mailing address:** 1100 SHAMES DR, SUITE 100, WESTBURY, NY 11590-1765
- **Mailing address phone:** (516) 693-0700
- **Mailing address fax:** (516) 693-0271

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 206889-1 | NY | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 11/26/2023