Individual
MD SHADATH H BHUIYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SOLE PROPRIETOR
Contact information
Practice address
1226 LIBERTY AVE, BROOKLYN, NY 11208-3433
(929) 393-0686
Mailing address
9752 75TH ST APT A26, OZONE PARK, NY 11416-1097
(929) 393-0686
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/17/2023
Last updated
02/15/2024
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