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Organization

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Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYED AFTAB AHMED (OWNER)
(929) 391-6047
Entity
Organization

Contact information

Practice address
3705 74TH ST FL 3, JACKSON HEIGHTS, NY 11372-6337
(929) 391-6047
Mailing address
4242 80TH ST APT 7W, ELMHURST, NY 11373-3036

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
972572303
DRIVER LICENSE
NY
Enumeration date
02/20/2019
Last updated
02/20/2019
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