Individual
MOHAMED HOOSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13943 QUEENS BLVD, JAMAICA, NY 11435-2925
(718) 790-1512
Mailing address
9351 214TH PL, QUEENS VILLAGE, NY 11428-1722
(718) 790-1512
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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