ADVANCED LAPAROSCOPIC BARIATRIC AND GENERAL SURGERY
Radiology at Belle Terre Rd, Prt Jefferson Station, NY

License number
New York 2496301
Category
Radiology
Type
Surgery
Owner
Name: ARIF AHMAD MD
Title: MEDICAL DOCTOR
Phone: (631) 689-0220
Address
Address
625 Belle Terre Rd SUITE 202, Prt Jefferson Station, NY 11777
National Provider ID: 1780983395
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ADVANCED LAPAROSCOPIC GENERAL & BARIATRIC SURGERY PC

625 Belle Terre Rd SUITE 202, Port Jefferson, NY 11777

Registration:
Oct 29, 2009
State ID:
3873126
Business type:
Domestic Professional Corporation
Arif Ahmad, 625 Belle Terre Rd SUITE 202, Port Jefferson, NY 11777 (Physical)
Agent:
Ganer Grossbach Ganer

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