ATHAR MUJTABA

CORONA, NY
NPI1891355400
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  344517)
Enumeration Date2019-06-17
Last Update Date2021-01-15
Business Address
Mr. ATHAR MUJTABA NP
10426 ROOSEVELT AVE
CORONA, NY 11368
Phone number: 718-533-0991
Mailing Address
Mr. ATHAR MUJTABA NP
10426 ROOSEVELT AVE
CORONA, NY 11368
Phone number: 718-533-0991
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