Individual
MR. MOHAMMAD VIQAR ALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
392 SEGUINE AVE, STATEN ISLAND, NY 10309-3906
(718) 226-2808
Mailing address
392 SEGUINE AVE, STATEN ISLAND, NY 10309-3906
(718) 226-2808
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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