Individual
MUBIN MOHMAD HAFEJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
32 WESTEND AVE, VALLEY STREAM, NY 11580-4833
(516) 244-7338
Mailing address
32 WESTEND AVE, VALLEY STREAM, NY 11580-4833
(516) 244-7338
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
020289
NY
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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