Organization
NANTICOKE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHID RASUL MD (CEO)
(917) 774-1787
Entity
Organization
Contact information
Practice address
128 W WASHINGTON ST, NANTICOKE, PA 18634-3113
(718) 534-7888
(718) 874-0088
Mailing address
PO BOX 3945, NEW HYDE PARK, NY 11040-8945
(917) 774-1787
(718) 874-0088
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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