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Organization

MOHAMMAD MOSTAFA AMIN PHYSICIAN, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MOHAMMAD MOSTAFA AMIN I (PRESIDENT)
(631) 974-6439
Entity
Organization

Contact information

Practice address
200 BELLE TERRE ROAD, SLEEP LAB, PORT JEFFERSON, NY 11777
(631) 974-6439
Mailing address
PO BOX 655, CENTEREACH, NY 11720-0655
(631) 974-6439

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
217753
NY

Other

Enumeration date
09/30/2010
Last updated
09/30/2010
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