Individual
RAWAL MUSHTAQ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5723 141ST ST, FLUSHING, NY 11355-5318
(917) 717-8101
(718) 661-3747
Mailing address
5723 141ST ST, FLUSHING, NY 11355-5318
(917) 717-8101
(718) 661-3747
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
000245
NY
Other
Enumeration date
03/24/2021
Last updated
08/12/2021
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