Individual
IMAD ISMAIL ABUSHAHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940-2141
(845) 342-4774
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2141
(845) 342-4774
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
315483
NY
2086S0105X
Surgery of the Hand (Surgery) Physician
FT581
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
315483
LICENSE
NY
Enumeration date
08/15/2018
Last updated
09/27/2022
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