Mohammed Ismail MD PC

NPI #1306935895 in Waterford, New York

Provider Information

NPI Number: 1306935895
Entity Type: Organization
Organization Name: Mohammed Ismail MD PC
Primary Specialty: Internal Medicine
Enumeration Date: Oct 12, 2006
Last Updated: Aug 23, 2011

Practice Location

Address: 46 3RD ST
City: Waterford
State: New York
ZIP Code: 12188
Phone: (518) 237-0641

Authorized Official

Name: DR. MOHAMMED ISMAIL, MD
Title: OWNER
Phone: (518) 237-0641

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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