Organization
INFECTIOUS DISEASE PRACTICE OF LONG ISLAND PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAQSOOD ALAM M.D. (PRESIDENT)
(516) 433-3750
Entity
Organization
Contact information
Practice address
165 N VILLAGE AVE, SUITE 107, ROCKVILLE CENTRE, NY 11570-3761
(516) 442-4991
Mailing address
215 WILLETS LN, JERICHO, NY 11753-1613
(516) 433-3750
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
233680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2780514
—
NY
Enumeration date
02/26/2013
Last updated
02/26/2013
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