Individual
HIRA MUGHAL IFTIKHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
10 E MERRICK RD, VALLEY STREAM, NY 11580-5800
(516) 256-2017
Mailing address
259 LATHAM RD, MINEOLA, NY 11501-2246
(516) 946-0053
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
309349
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
309349
NY
Other
Enumeration date
11/22/2019
Last updated
11/22/2019
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