Individual
AHMAD EUSTACHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7000 AUSTIN ST # 2000, FOREST HILLS, NY 11375-1022
(718) 762-7633
Mailing address
10573 AVENUE K, BROOKLYN, NY 11236-3017
(347) 951-1021
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
NY
Other
Enumeration date
06/30/2021
Last updated
06/30/2021
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