Organization
ISLAND PATHOLOGY DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAH MOHAMMAD GIASHUDDIN MD (MEDICAL DIRECTOR)
(917) 376-5739
Entity
Organization
Contact information
Practice address
77A POWERHOUSE RD, ROSLYN HEIGHTS, NY 11577-2027
(917) 376-5739
Mailing address
77A POWERHOUSE RD, ROSLYN HEIGHTS, NY 11577-2027
(917) 376-5739
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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