| Ime Med | |
|
227 Mount Pleasant Rd Hauppauge NY 11788-2709 | |
| (631) 223-9479 | |
| Not Available |
| Full Name | Ime Med |
|---|---|
| Speciality | Clinic/center |
| Location | 227 Mount Pleasant Rd, Hauppauge, New York |
| Authorized Official Name and Position | Ehsan Butt (ADMINISTRATOR) |
| Authorized Official Contact | 6318385320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ime Med 227 Mount Pleasant Rd Hauppauge NY 11788-2709 Ph: (631) 223-9479 | Ime Med 227 Mount Pleasant Rd Hauppauge NY 11788-2709 Ph: (631) 223-9479 |
| NPI Number | 1225645641 |
|---|---|
| Provider Enumeration Date | 09/29/2020 |
| Last Update Date | 09/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225645641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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