Individual
UMME MOBASSERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LONG BEACH RD, ISLAND PARK, NY 11558-2254
(516) 432-0300
Mailing address
194 SMITH ST APT 1C, FREEPORT, NY 11520-4308
(215) 758-7786
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
31451
ZZ
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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