M.q. Islam Physician Pllc
NPI #1053601005 in Manhasset Hills, New York
Provider Information
- NPI Number
- 1053601005
- Entity Type
- Organization
- Organization Name
- M.q. Islam Physician Pllc
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 11, 2011
- Last Updated
- Apr 11, 2011
Practice Location
- Address
- 20 OLD COURTHOUSE RD
- City
- Manhasset Hills
- State
- New York
- ZIP Code
- 11040-1229
- Phone
- (718) 657-8525
Authorized Official
- Name
- DR. MOHAMMED Q ISLAM
- Title
- MEDICAL DIRECTOR
- Phone
- (718) 657-8525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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