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Individual

AHMED MUSTAFA ILAHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
4504 46TH ST, SUNNYSIDE, NY 11104-1702
(718) 493-2020
(718) 493-2020
Mailing address
33 W 42ND ST, NEW YORK, NY 10036-8005
(212) 938-4000
(212) 938-4000

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
009996
NY

Other

Enumeration date
04/27/2024
Last updated
07/11/2024
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