Individual
DR. IMRANA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
515 BELLPORT AVE, BELLPORT, NY 11713-1711
(631) 227-6600
(631) 286-8290
Mailing address
515 BELLPORT AVE, BELLPORT, NY 11713-1711
(631) 227-6600
(631) 286-8290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
271005
NY
Other
Enumeration date
12/02/2010
Last updated
08/25/2014
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