Individual
MAMOUN ALHAJJOUMAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
40-35 95 STREET, ELMHURST, NY 11368-6200
(718) 803-8463
(718) 205-4928
Mailing address
40-35 95 STREET, ELMHURST, NY 11368-6200
(718) 803-8463
(718) 205-4928
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013215
NY
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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