Individual
MEHJABIN ALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
69-70 GRAND CENTRAL PARKWAY, FOREST HILLS, NEW YORK, NY 11375
(718) 263-4600
Mailing address
184-23 N CONDUIT AVENUE, SPRINGFIELD GARDEN, NY 11413
(929) 342-9986
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
P136811
NY
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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