Individual
MR. ABDUL QAYYUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21 GRAND ST, NEWBURGH, NY 12550-5628
(845) 562-7244
Mailing address
21 GRAND ST, NEWBURGH, NY 12550-5628
(845) 562-7244
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
222553-1
NY
Other
Enumeration date
01/18/2007
Last updated
11/11/2010
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