Individual
MR. ISMAIL ABDUL-WAHID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
451 CLARKSON AVE, BROOKLYN, NY 11203-2054
(718) 245-4687
(718) 245-4689
Mailing address
724 E HENRY ST, LINDEN, NJ 07036-2132
(908) 967-3661
(718) 245-4689
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
NJ
363AS0400X
Surgical Physician Assistant
Primary
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2020
Last updated
04/24/2022
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