Organization
THE BEAUTY SOURCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZOOHRA MASHRIQI MD (OWNER)
(917) 209-5155
Entity
Organization
Contact information
Practice address
16602 76TH AVE, FRESH MEADOWS, NY 11366-1253
(929) 390-2862
(718) 223-5701
Mailing address
16602 76TH AVE, FRESH MEADOWS, NY 11366-1253
(929) 390-2862
(718) 223-5701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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