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1629823992
MOMINA TARIQ
MINEOLA, NY
NPI
1629823992
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: NY 13-3971298)
Enumeration Date
2024-04-20
Last Update Date
2024-04-20
Business Address
MOMINA TARIQ DPM
259 1ST ST
MINEOLA, NY 11501-3957
Phone number: 516-663-0333
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Mailing Address
MOMINA TARIQ DPM
129 COTTAGE BLVD
HICKSVILLE, NY 11801-5903
Phone number: 917-294-4954
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