Individual
MOSTAFA KARAM SOROUR MAHMOUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1612 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4002
(718) 970-8700
Mailing address
1612 CENTRAL AVE, FAR ROCKAWAY, NY 11691-4002
(718) 970-8700
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
U000239
NY
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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