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Organization

AJAY 28 LLC

Active
Other names
New York Preventive Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AHMAD MASOUD (PRESIDENT)
(718) 640-6152
Entity
Organization

Contact information

Practice address
6860 AUSTIN ST, FOREST HILLS, NY 11375-4245
(718) 997-7100
(718) 997-7499
Mailing address
6860 AUSTIN ST, FOREST HILLS, NY 11375-4245

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Enumeration date
10/16/2018
Last updated
05/16/2022
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