Mm Islam Md Pc | |
10 Little Britain Rd Suite 102 Newburgh NY 12550-5100 | |
(845) 562-1900 | |
(845) 562-2100 |
Full Name | Mm Islam Md Pc |
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Speciality | Internal Medicine |
Location | 10 Little Britain Rd, Newburgh, New York |
Authorized Official Name and Position | Mohammad M. Islam (PRESIDENT) |
Authorized Official Contact | 8455621900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mm Islam Md Pc 10 Little Britain Rd Suite 102 Newburgh NY 12550-5100 Ph: (845) 562-1900 | Mm Islam Md Pc 10 Little Britain Rd Suite 102 Newburgh NY 12550-5100 Ph: (845) 562-1900 |
NPI Number | 1285889881 |
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Provider Enumeration Date | 11/24/2008 |
Last Update Date | 11/24/2008 |
Medicare PECOS PAC ID | 6709940307 |
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Medicare Enrollment ID | O20090127000140 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285889881 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Mohammad M Islam |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1346325263 PECOS PAC ID: 9537249537 Enrollment ID: I20080103000293 |
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