Individual
ALICIA A MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Mailing address
7901 BROADWAY, ELMHURST, NY 11373-1329
(718) 334-4000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F343398-1
NY
Other
Enumeration date
10/03/2018
Last updated
01/03/2019
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