Individual
IRAM AHSANUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1088 SPUR DR S, BAY SHORE, NY 11706-4700
(631) 335-7914
Mailing address
1088 SPUR DR S, BAY SHORE, NY 11706-4700
(631) 335-7914
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
013162-1
NY
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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