# ABU MUHAMMAD M. HAQUE M.D.P.C.

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

## Provider details

- **NPI number:** 1992055115
- **Authorized official:** ABU MUHAMMAD M HAQUE MD (OWNER)
- **Authorized official phone:** (631) 968-8990

## Contact information

- **Practice address:** 1249 MONTAUK HIGHWAY, WEST ISLIP, NY 11795-4916
- **Practice address phone:** (631) 968-8990
- **Practice address fax:** (631) 665-0061
- **Mailing address:** 1249 MONTAUK HIGHWAY, WEST ISLIP, NY 11795-4916
- **Mailing address phone:** (631) 968-8990
- **Mailing address fax:** (631) 665-0061

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 218363 | NULL | Yes |
| 207R00000X | Internal Medicine Physician | 218363 | — | Yes |

## Other

- **Enumeration date:** 09/14/2012
- **Last updated:** 09/26/2023