Individual
DR. MICHAEL OSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3739 75TH ST, JACKSON HEIGHTS, NY 11372-6422
(718) 505-1177
(718) 505-2046
Mailing address
PO BOX 720066, JACKSON HEIGHTS, NY 11372-0066
(718) 505-1177
(718) 505-2046
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
197422
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01946905
—
NY
Enumeration date
08/09/2006
Last updated
08/11/2015
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