Dr. Mohamed Idris Medical PC

NPI #1053628933 in Freeport, New York

Provider Information

NPI Number: 1053628933
Entity Type: Organization
Organization Name: Dr. Mohamed Idris Medical PC
Primary Specialty: Internal Medicine - Endocrinology, Diabetes & Metabolism
Enumeration Date: Sep 13, 2010
Last Updated: Sep 13, 2010

Practice Location

Address: 55 N MAIN ST
City: Freeport
State: New York
ZIP Code: 11520-2243
Phone: (516) 538-0295

Authorized Official

Name: DR. MOHAMED HUSSEIN IDRIS, M.D.
Title: OWNER
Phone: (516) 582-8356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Endocrinology, Diabetes & Metabolism — Endocrinology, Diabetes & Metabolism	207RE0101X	Primary

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