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1144073966
MOSHTAQ AHMED
JAMAICA, NY
NPI
1144073966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: NY O000219)
Enumeration Date
2024-04-10
Last Update Date
2024-04-10
Business Address
MOSHTAQ AHMED RSA
17004 HENLEY RD
JAMAICA, NY 11432-2786
Phone number: 718-523-1216
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Mailing Address
MOSHTAQ AHMED RSA
4 GOERGE CT
MELVILLE, NY 11747
Phone number: 347-744-3294
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