Organization
DR. MOHAMED IDRIS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED HUSSEIN IDRIS M.D. (OWNER)
(516) 582-8356
Entity
Organization
Contact information
Practice address
55 N MAIN ST, FREEPORT, NY 11520-2243
(516) 538-0295
(516) 538-0296
Mailing address
27 BALFOUR DR, BETHPAGE, NY 11714-5527
(516) 538-0295
(516) 538-0296
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
228816
NY
Other
Enumeration date
09/13/2010
Last updated
09/13/2010
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