Individual
MOSHTAQ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RSA
Contact information
Practice address
17004 HENLEY RD, JAMAICA, NY 11432-2786
(718) 523-1216
Mailing address
4 GOERGE CT, MELVILLE, NY 11747
(347) 744-3294
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
O000219
NY
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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