Organization
MEDPRO MOVIL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD SADIQUE (DIRECTOR)
(718) 739-1400
Entity
Organization
Contact information
Practice address
16808 HILLSIDE AVE, JAMAICA, NY 11432-4341
(718) 739-1400
(800) 732-1219
Mailing address
1024 PENINSULA BLVD, WOODMERE, NY 11598-1542
(718) 739-1400
(800) 732-1219
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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