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1588017164
MUBUSHAR IKRAM RAZA
HUNTINGTON STATION, NY
NPI
1588017164
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 307814)
Enumeration Date
2016-07-19
Last Update Date
2024-08-02
Business Address
MUBUSHAR IKRAM RAZA
1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746-2407
Phone number: 631-983-3237
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Mailing Address
MUBUSHAR IKRAM RAZA
1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746-2407
Phone number: 631-983-3273
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