Individual
ABDUL JABBAR MOULANA MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554
(516) 572-6501
Mailing address
2201 HEMPSTEAD TURNPIKE, EAST MEADOW, NY 11554
(516) 572-6501
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
07/15/2022
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