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Organization

LONG ISLAND MEDICAL ARTS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAREK M MOUSA MD, PHD (PRESIDENT)
(347) 556-7769
Entity
Organization

Contact information

Practice address
393 SUNRISE HWY, SUITE#7, WEST BABYLON, NY 11704-5909
(347) 556-7769
Mailing address
393 SUNRISE HWY, SUITE#7, WEST BABYLON, NY 11704-5909

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
259363
NY

Other

Enumeration date
10/16/2015
Last updated
10/16/2015
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