Individual
FAHIM SHAN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
PO BOX 6010, HAUPPAUGE, NY 11788-9010
(631) 232-4000
(631) 851-9225
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
237742
NY
Other
Enumeration date
06/27/2006
Last updated
08/25/2009
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