Organization
ATM YOUSUF PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ATM YOUSUF MD (PRESIDENT)
(718) 777-1112
Entity
Organization
Contact information
Practice address
862 WESTBURY RD, WESTBURY, NY 11590-5844
(718) 777-1112
Mailing address
862 WESTBURY RD, WESTBURY, NY 11590-5844
(718) 777-1112
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
212144
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01916150
—
NY
01
—
04075
MEDICARE GHI
NY
01
—
DE1283
RR MEDICARE GROUP#
NY
01
—
P00273382
RR MEDICARE
NY
Enumeration date
03/17/2007
Last updated
05/26/2011
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