Organization
OZONE PARK MEDICAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD M RAHMAN (SOLE PROPRIETOR)
(718) 986-5802
Entity
Organization
Contact information
Practice address
1219 LIBERTY AVE, BROOKLYN, NY 11208-3411
(718) 986-5802
Mailing address
1219 LIBERTY AVE, BROOKLYN, NY 11208-3411
(718) 986-5802
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
230021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02526630
—
NY
Enumeration date
12/11/2006
Last updated
06/02/2008
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