Individual
DR. MOHAMMAD ATHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NESCONSET HIGHWAY, BUILDING 10 UNIT D, STONY BROOK, NY 11790
(631) 981-2663
(212) 203-9223
Mailing address
10011 70TH AVE, FOREST HILLS, NY 11375-5132
(917) 946-9681
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
316870
NY
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
316870
NY
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
316870
NY
Other
Enumeration date
08/03/2022
Last updated
12/04/2023
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