Individual
MR. IFTIKHAR AHMAD MIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIANS ASSISTANT
Contact information
Practice address
270-05 76TH AVE, NS LIJ HOSPITAL HEALTH SYSTEM, NEW HYDE PARK, NY 11040
(718) 470-7270
(718) 470-0827
Mailing address
175 COMMUNITY DRIVE, NS LIJ HEALTH SYSTEM, G NECK, NY 11021
(516) 465-1900
(516) 465-1830
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
003554
NY
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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