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Organization

ABDUL G.MUNDIA PHYSICIAN PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ABDUL G. MUNDIA MD (PRESIDENT)
(516) 763-1962
Entity
Organization

Contact information

Practice address
2000 N VILLAGE AVE, SUITE 405, ROCKVILLE CENTRE, NY 11570-1078
(516) 763-1962
(516) 764-0060
Mailing address
2000 N VILLAGE AVE, SUITE 405, ROCKVILLE CENTRE, NY 11570-1078
(516) 763-1962
(516) 764-0060

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
119258
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00398614
NY
Enumeration date
05/04/2007
Last updated
08/22/2020
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