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1629299037
MOHAMMED QUSIM ESMAILZADA
SELDEN, NY
NPI
1629299037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI)
Enumeration Date
2007-05-01
Last Update Date
2007-07-08
Business Address
-- MOHAMMED QUSIM ESMAILZADA MT
692 MIDDLE COUNTRY RD
SELDEN, NY 11784-2537
Phone number: 631-979-0571
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Mailing Address
-- MOHAMMED QUSIM ESMAILZADA MT
69 ASHLAND DR
KINGS PARK, NY 11754-4018
Phone number: 631-979-0571
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