Organization
M Q ISLAM PHYSICIAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMED Q. ISLAM M.D. (PRESIDENT)
(516) 589-4981
Entity
Organization
Contact information
Practice address
40-27 74TH STREET, ELMHURST, NY 11373-0000
(718) 424-1300
(718) 424-1311
Mailing address
20 OLD COURTHOUSE RD, NEW HYDE PARK, NEW HYDE PARK, NY 11040-1229
(516) 589-4981
(718) 424-1311
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
248033
NY
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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