Individual
DR. HATEM JASIM MUKHLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
344 TWIST RUN RD, ENDWELL, NY 13760-1028
(607) 785-5420
(607) 785-5420
Mailing address
344 TWIST RUN RD, ENDWELL, NY 13760-1028
(607) 785-5420
(607) 785-5420
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
164382
NY
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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