Individual
MR. MUNEER IMAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 UNION AVE, CENTER MORICHES, NY 11934-3324
(631) 878-0310
(631) 878-0754
Mailing address
2 UNION AVE, CENTER MORICHES, NY 11934-3324
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
159557
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00949899
—
NY
Enumeration date
11/17/2006
Last updated
07/08/2007
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