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Individual

SYED IMRAN AHMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1651 GRAND AVE, NORTH BALDWIN, NY 11510-1846
(917) 364-0801
(516) 629-6258
Mailing address
PO BOX 720507, JACKSON HEIGHTS, NY 11372-0507
(917) 364-0801
(516) 746-0831

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
234776
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02667681
NY
Enumeration date
05/11/2006
Last updated
12/03/2013
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