Individual
MAQSOOD ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27 MIDDLE LN, JERICHO, NY 11753-2235
(516) 974-5177
(516) 678-2465
Mailing address
27 MIDDLE LN, JERICHO, NY 11753-2235
(516) 974-5177
(516) 678-2465
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
233680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02780514
—
NY
Enumeration date
06/28/2005
Last updated
06/11/2020
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