Abul Shahidullah, M. D., Medical Office

NPI 1164778130 - Clinic/Center - 261QA1903X

NPI Details
NPI 1164778130
Enumeration Date 07/27/2012
Last Updated 07/27/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name ABUL ABUL
Position OWNER
Phone (718) 366-7999
Fax (718) 366-6468
Practice Location
62 65 FOREST AVE
RIDGEWOOD NY, 11385-2001, US
Phone (718) 366-7999
Fax (718) 366-6468
Business Location
899 WOODMERE DR
VALLEY STREAM NY, 11581-2735, US
Phone (718) 366-7999
Fax (718) 366-6468
Toxanomy
Taxonomy Code 261QA1903X
License State New York
License Number 187626
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According to our database, Abul Shahidullah, M. D., Medical Office NPI is 1164778130, taxonomy code is 261QA1903X and license number is 187626, license state is located at New York. Abul Shahidullah, M. D., Medical Office physically located at 62 65 Forest Ave, Ridgewood NY, 11385-2001. NPI Number 1033115704 has the healthcare provider type.

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1164778130 NPI number is provided on an as is basis without warranty of any kind. 1164778130 is maintained by the National Plan & Provider Enumeration System. The contents of Abul Shahidullah, M. D., Medical Office are for informational purposes only.