Individual
ANJUM MAQBOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
682 UNION AVE, LONG ISLAND FQHC, INC., WESTBURY, NY 11590-3552
(516) 571-9535
Mailing address
380 NASSAU RD, LONG ISLAND FQHC, INC., ROOSEVELT, NY 11575-1343
(516) 571-8260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
225258
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02670235
—
NY
Enumeration date
03/20/2006
Last updated
01/24/2014
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