Individual
MAQSOOD SADIQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1097 OLD COUNTRY RD STE 101, PLAINVIEW, NY 11803-6505
(516) 261-9988
(516) 612-0071
Mailing address
1359 MADISON ST, ELMONT, NY 11003-1304
(516) 708-6315
(516) 612-0071
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F309215-01
NY
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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