Organization
MOHAMED AHMED PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BESSIE M LOOMIS OM (OFFICE MANAGER)
(315) 598-5921
Entity
Organization
Contact information
Practice address
941 S 1ST ST, FULTON, NY 13069-4989
(315) 598-5921
(315) 598-5921
Mailing address
941 S 1ST ST, FULTON, NY 13069-4989
(315) 598-5921
(315) 598-5921
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
188122
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01299825
—
NY
01
—
188122
LIC.
NY
Enumeration date
06/19/2007
Last updated
01/21/2008
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