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1124801360
MOHAMMED A ISLAM
ASTORIA, NY
NPI
1124801360
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 050722)
Enumeration Date
2023-08-14
Last Update Date
2024-11-07
Business Address
MOHAMMED A ISLAM PT, DPT
2419 42ND ST
ASTORIA, NY 11103-2863
Phone number: 347-407-4119
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Mailing Address
MOHAMMED A ISLAM PT, DPT
2419 42ND ST
ASTORIA, NY 11103-2863
Phone number: 347-407-4119
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