Individual
DR. MICHAEL AHDOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4601 QUEENS BLVD, SUNNYSIDE, NY 11104-1711
(718) 565-2020
(718) 565-2052
Mailing address
PO BOX 231297, GREAT NECK, NY 11023-0297
(516) 672-3030
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
230961
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02603634
—
NY
Enumeration date
09/02/2006
Last updated
03/20/2019
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