Individual
MOHAMMED MOMIN ULLAH
Active
Individual
MOHAMMED MOMIN ULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
712521-1
NY
Other
Enumeration date
06/09/2020
Last updated
09/14/2022
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