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1588369979
FATIN ISHRAQ
MINEOLA, NY
NPI
1588369979
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-04
Last Update Date
2023-04-04
Business Address
FATIN ISHRAQ MD
259 1ST ST LOWR LEVEL
MINEOLA, NY 11501-3957
Phone number: 516-663-8443
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Mailing Address
FATIN ISHRAQ MD
5910 QUEENS BLVD APT 15C
WOODSIDE, NY 11377-7744
Phone number: 347-952-5098
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