M Q ISLAM PHYSICIAN, PLLC
Neurology at 74 St, Flushing, NY

License number
New York 248033
Category
Neurology
Type
Neurology
Owner
Name: MOHAMMED Q. ISLAM M.D.
Title: PRESIDENT
Phone: (516) 589-4981
Address
Address 2
40-27 74Th St, Flushing, NY 11373
20 Old Courthouse Rd New Hyde Park, New Hyde Park, NY 11040
National Provider ID: 1033543707
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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M. Q. ISLAM PHYSICIAN PLLC

New Hyde Park, NY

Industry:
Medical Doctor's Office
Doing business as:
M Q Islam Physician Pllc
Registration:
May 10, 2011
Addresses:
20 Old Ct House Rd, New Hyde Park, NY 11040 (Physical)
20 Old Courthouse Rd, New Hyde Park, NY 11040
State ID:
4092331
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Medical Director, Principal:
Mohammed Q. Islam Medical Director, Principal, inactive

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