Individual
ELNAZ MAHBUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 687-4131
(631) 654-7376
Mailing address
101 HOSPITAL RD, PATCHOGUE, NY 11772-4870
(631) 687-4131
(631) 654-7376
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
323912
NY
Other
Enumeration date
04/06/2020
Last updated
08/18/2023
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