Individual
ANAM MOHIUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 GRANNY RD, FARMINGVILLE, NY 11738-2879
(631) 696-4357
(631) 997-0035
Mailing address
100 GRANNY RD, FARMINGVILLE, NY 11738-2879
(631) 997-0035
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR24784500
NJ
163W00000X
Registered Nurse
Primary
781447-01
NY
Other
Enumeration date
04/03/2023
Last updated
02/16/2026
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