Organization
HOLLIS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MD MAHBUBUL ISLAM MD (CEO/PRESIDENT)
(718) 480-6882
Entity
Organization
Contact information
Practice address
8786 188TH ST, HOLLIS, NY 11423-1131
(718) 480-6882
(718) 217-7653
Mailing address
8786 188TH ST, HOLLIS, NY 11423-1131
(718) 480-6882
(718) 217-7653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
243430
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02866613
—
NY
Enumeration date
04/09/2014
Last updated
04/09/2014
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