| Iv League Medical Pllc | |
|
185 Merritts Rd Farmingdale NY 11735-3254 | |
| (516) 595-9264 | |
| Not Available |
| Full Name | Iv League Medical Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 185 Merritts Rd, Farmingdale, New York |
| Authorized Official Name and Position | Azmatullah S Hussaini (PRESIDENT) |
| Authorized Official Contact | 5165959264 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iv League Medical Pllc 185 Merritts Rd Farmingdale NY 11735-3254 Ph: (516) 595-9264 | Iv League Medical Pllc 185 Merritts Rd Farmingdale NY 11735-3254 Ph: (516) 595-9264 |
| NPI Number | 1417679341 |
|---|---|
| Provider Enumeration Date | 09/16/2022 |
| Last Update Date | 09/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417679341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
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