Individual
AMENA BEGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
8921 ELMHURST AVE, APT 520, ELMHURST, NY 11373-1544
(646) 255-2864
Mailing address
8921 ELMHURST AVE, APT 520, ELMHURST, NY 11373-1544
(646) 255-2864
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019069
NY
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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