| Dr. Mohamed Idris Medical Pc | |
|
55 N Main St Freeport NY 11520-2243 | |
| (516) 538-0295 | |
| (516) 538-0296 |
| Full Name | Dr. Mohamed Idris Medical Pc |
|---|---|
| Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
| Location | 55 N Main St, Freeport, New York |
| Authorized Official Name and Position | Mohamed Hussein Idris (OWNER) |
| Authorized Official Contact | 5165828356 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Mohamed Idris Medical Pc 27 Balfour Dr Bethpage NY 11714-5527 Ph: (516) 538-0295 | Dr. Mohamed Idris Medical Pc 55 N Main St Freeport NY 11520-2243 Ph: (516) 538-0295 |
| NPI Number | 1053628933 |
|---|---|
| Provider Enumeration Date | 09/13/2010 |
| Last Update Date | 09/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053628933 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 228816 (New York) | Primary |
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