Organization
MB-SC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUHAMMAD OMER BASHIR M.D. (PRESIDENT)
(631) 627-9987
Entity
Organization
Contact information
Practice address
146 AUTUMN CHASE DR, HOPEWELL JCT, NY 12533-6574
(631) 627-9987
Mailing address
146 AUTUMN CHASE DR, HOPEWELL JCT, NY 12533-6574
(631) 627-9987
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
247070
NY
Other
Enumeration date
04/01/2017
Last updated
04/01/2017
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