Organization
STATION MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUBUSHAR RAZA NURSE PRACTITIONER (PROVIDER (NP))
(631) 983-3237
Entity
Organization
Contact information
Practice address
1757 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2407
(631) 983-3237
Mailing address
1757 NEW YORK AVE, HUNTINGTON STATION, NY 11746-2407
(631) 983-3237
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
09/24/2024
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