Individual
MR. AHMAD MUSTFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305
(718) 226-8313
Mailing address
475 SEAVIEW AVENUE, STATEN ISLAND, NY 10305
(718) 226-8313
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
244202
—
Other
Enumeration date
04/05/2019
Last updated
02/05/2020
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