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Individual

GHULAM MUSTAFA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
210 SOUTH MAIN STREET, ALBION, NY 14411
(585) 589-7874
(585) 589-2958
Mailing address
210 SOUTH MAIN STREET, ALBION, NY 14411
(585) 589-7874
(585) 589-2958

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
001051
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
001051
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02069961
NY
01
1210914
INDEPENDENT HEALTH
NY
Enumeration date
03/24/2006
Last updated
09/11/2025
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