Organization
STAT DOC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID RASUL MD (CEO)
(718) 534-7888
Entity
Organization
Contact information
Practice address
1075 PORTION RD, FARMINGVILLE, NY 11738-4205
(718) 534-7888
(718) 874-0088
Mailing address
743 HILLSIDE AVE, NORTH NEW HYDE PARK, NY 11040-2515
(917) 774-1787
(718) 874-0088
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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