Organization
ABUL SHAHIDULLAH, M. D., MEDICAL OFFICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABUL SHAHIDULLAH M. D. (OWNER)
(718) 366-7999
Entity
Organization
Contact information
Practice address
62 65 FOREST AVE, RIDGEWOOD, NY 11385-2001
(718) 366-7999
(718) 366-6468
Mailing address
899 WOODMERE DR, VALLEY STREAM, NY 11581-2735
(718) 366-7999
(718) 366-6468
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
187626
NY
Other
Enumeration date
07/27/2012
Last updated
07/27/2012
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