MUBUSHAR IKRAM RAZA

HUNTINGTON STATION, NY
NPI1588017164
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: NY  307814)
Enumeration Date2016-07-19
Last Update Date2024-08-02
Business Address
MUBUSHAR IKRAM RAZA
1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746-2407
Phone number: 631-983-3237
Mailing Address
MUBUSHAR IKRAM RAZA
1757 NEW YORK AVE
HUNTINGTON STATION, NY 11746-2407
Phone number: 631-983-3273