Individual
DR. CEAN MAHMUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
31 MAIN RD STE 1, RIVERHEAD, NY 11901-1953
(631) 722-4400
Mailing address
70 N COUNTRY RD STE 105, PORT JEFFERSON, NY 11777-2161
(631) 392-8847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
305318
NY
208000000X
Pediatrics Physician
305318
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2017
Last updated
04/18/2026
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