KULSOOM MUSHTAQ

OCEANSIDE, NY
NPI1649758632
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  022381)
Enumeration Date2018-08-01
Last Update Date2020-12-29
Business Address
KULSOOM MUSHTAQ PA
1 HEALTHY WAY
OCEANSIDE, NY 11572-1551
Phone number: 516-632-3000
Mailing Address
KULSOOM MUSHTAQ PA
356 ROCKAWAY PKWY
VALLEY STREAM, NY 11580-2638
Phone number:
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