Organization
MID ISLAND MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSARRAT IQBAL MD (PHYSICIAN)
(631) 618-9030
Entity
Organization
Contact information
Practice address
285 SILLS RD, EAST PATCHOGUE, NY 11772-4869
(631) 618-9030
Mailing address
285 SILLS RD, EAST PATCHOGUE, NY 11772-4869
(631) 618-9030
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
234347
NY
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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