Individual
MOHAMMED SADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3511 PUTNAM PL APT 3B, BRONX, NY 10467-1517
(917) 470-1227
Mailing address
3511 PUTNAM PL APT 3B, BRONX, NY 10467-1517
(917) 470-1227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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