Individual
MOHAMMAD MOSTAFA AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
79 MIDDLEVILLE RD, 111D - PULMONARY DIVISION, NORTHPORT, NY 11768-2200
(631) 261-4400
Mailing address
7 ROSE CT, CENTEREACH, NY 11720-1753
(631) 585-0029
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
217753
NY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
217753
NY
207RP1001X
Pulmonary Disease Physician
Primary
217753
NY
Other
Enumeration date
03/08/2006
Last updated
04/27/2022
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