Individual
MEMOONA WAHEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8003 256TH ST, FLORAL PARK, NY 11004-1247
(516) 450-7343
Mailing address
8003 256TH ST, FLORAL PARK, NY 11004-1247
(516) 450-7343
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019483
NY
Other
Enumeration date
02/17/2016
Last updated
02/17/2016
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