# ABDUL G.MUNDIA PHYSICIAN PC

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

## Provider details

- **NPI number:** 1780896506
- **Authorized official:** DR. ABDUL G. MUNDIA MD (PRESIDENT)
- **Authorized official phone:** (516) 763-1962

## Contact information

- **Practice address:** 2000 N VILLAGE AVE, SUITE 405, ROCKVILLE CENTRE, NY 11570-1078
- **Practice address phone:** (516) 763-1962
- **Practice address fax:** (516) 764-0060
- **Mailing address:** 2000 N VILLAGE AVE, SUITE 405, ROCKVILLE CENTRE, NY 11570-1078
- **Mailing address phone:** (516) 763-1962
- **Mailing address fax:** (516) 764-0060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RH0003X | Hematology & Oncology Physician | 119258 | NY | Yes |

## Other

- **Enumeration date:** 05/04/2007
- **Last updated:** 08/22/2020