Individual
SAMEERA FORHAN AWWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5645 MAIN ST, FLUSHING, NY 11355-5045
(186) 667-0682
(718) 533-1770
Mailing address
5645 MAIN ST, FLUSHING, NY 11355-5045
(866) 670-6824
(718) 533-1770
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018985
NY
Other
Enumeration date
08/26/2015
Last updated
02/08/2017
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