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Organization
7 SUSAN MEDICAL PC
Active
Organization
7 SUSAN MEDICAL PC
Active
Other names
Live well Medical office
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAIQA IRAM MD (PHYSICIAN)
(347) 264-6436
Entity
Organization
Contact information
Practice address
770 GRAND BLVD STE 10, DEER PARK, NY 11729-5725
(347) 264-6436
(631) 377-5727
Mailing address
770 GRAND BLVD STE 10, DEER PARK, NY 11729-5725
(347) 264-6436
(631) 377-5727
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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