Organization
MOMENTSTORE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD QAYYUM (CEO)
(456) 456-4564
Entity
Organization
Contact information
Practice address
17860 WEXFORD TER APT 1E, JAMAICA, NY 11432-3018
(456) 456-4564
Mailing address
17860 WEXFORD TER APT 1E, JAMAICA, NY 11432-3018
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/04/2026
Last updated
08/04/2026
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