Individual
DR. ISSA T MADHOUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
192 EXECUTIVE DR, NEW HYDE PARK, NY 11040-1051
(516) 365-4948
Mailing address
192 EXECUTIVE DRIVE, NEW HYDE PARK, NY 11040
(516) 365-4948
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
118166
NY
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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