Individual
AHMAR BUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 GREENE AVE, BROOKLYN, NY 11238
(917) 763-5690
Mailing address
28 CHEEVER PL, # 2, BROOKLYN, NY 11231-5261
(718) 857-0404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
196291
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01500958
—
NY
Enumeration date
07/31/2006
Last updated
08/16/2013
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