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1780645739
MUSHTAQ MEMON
STATEN ISLAND, NY
NPI
1780645739
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 228479)
Enumeration Date
2006-03-29
Last Update Date
2012-10-10
Business Address
-- MUSHTAQ MEMON MD
1050 CLOVE RD
STATEN ISLAND, NY 10301-3627
Phone number: 718-816-6440
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Mailing Address
-- MUSHTAQ MEMON MD
1050 CLOVE RD
STATEN ISLAND, NY 10301-3627
Phone number: 718-816-6440
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