| Moinuddin Ahmed | |
|
123 Pike St Suite 207 Port Jervis NY 12771-1824 | |
| (845) 856-2244 | |
| (845) 856-1166 |
| Full Name | Moinuddin Ahmed |
|---|---|
| Speciality | Internal Medicine - Pulmonary Disease |
| Location | 123 Pike St, Port Jervis, New York |
| Authorized Official Name and Position | Judy Landers (OFFICE MGR) |
| Authorized Official Contact | 8458562244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moinuddin Ahmed 123 Pike St Suite 207 Port Jervis NY 12771-1824 Ph: (845) 856-2244 | Moinuddin Ahmed 123 Pike St Suite 207 Port Jervis NY 12771-1824 Ph: (845) 856-2244 |
| NPI Number | 1255325346 |
|---|---|
| Provider Enumeration Date | 09/06/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255325346 | NPI | - | NPPES |
| 02062875 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 60211958 (New York) | Primary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 60211958 (New York) | Primary |
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Twin Rivers Gastroenterology, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Church St # 58, Port Jervis, NY 12771 Phone: 845-856-4346 Fax: 845-856-0587 | |
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