Individual
ANUM MAHMOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
4 SMITH HAVEN MALL, LAKE GROVE, NY 11755-1219
(631) 444-1993
Mailing address
4 SMITH HAVEN MALL, LAKE GROVE, NY 11755-1219
(631) 638-0800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/24/2021
Last updated
07/09/2025
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