Individual
MOHAMMED BILLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
16310 89TH AVE, JAMAICA, NY 11432-5006
(929) 335-0400
Mailing address
16310 89TH AVE, JAMAICA, NY 11432-5006
(929) 335-0400
Taxonomy
Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
C50548
NY
Other
Enumeration date
06/14/2021
Last updated
06/14/2021
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