Individual
DR. MOHAMMAD MAINUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 E MAIN ST, STAMFORD, CT 06902-3832
(203) 353-9117
Mailing address
26203 E WILLISTON AVE, FLORAL PARK, NY 11001-1146
(718) 536-7424
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0011125
CT
183500000X
Pharmacist
Primary
I055699
NY
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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