Individual
MOEED AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8608 RANGE ST, QUEENS VILLAGE, NY 11427-2722
(347) 574-5152
Mailing address
8608 RANGE ST, QUEENS VILLAGE, NY 11427-2722
(347) 574-5152
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
00000000000
NY
2084P0800X
Psychiatry Physician
Primary
289941
NY
Other
Enumeration date
11/23/2014
Last updated
01/13/2021
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