Organization
NORTH SHORE ONSITE MEDICAL DIAGNOSTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEDIQUE S MOHAMMED (ADMINISTRATOR)
(516) 620-4246
Entity
Organization
Contact information
Practice address
7418 41ST AVE, ELMHURST, NY 11373-5601
(516) 620-4246
Mailing address
7 CENTER DR, DOUGLASTON, NY 11363-1213
(516) 620-4246
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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