Clinton Medical Office PC
Clinic/Center, Medical Specialty in Hempstead, NY. Organization (NPI-2).
NPI number1205409331
StatusActive
Last updated in NPPESJul 16, 2021
Details
- NPI
- 1205409331
- Entity type
- Organization (NPI-2)
- Legal business name
- Clinton Medical Office PC
- Organization subpart
- No
- Enumeration date
- Jul 16, 2021
- Certification date
- Jul 16, 2021
- Last updated
- Jul 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | – | – | Yes |
Practice location
390 Fulton AveHempstead, NY 11550
Phone 516-280-2022
Mailing address
390 Fulton AveHempstead, NY 11550
Phone 516-280-2022
Authorized official
Nasar M Shahid
Owner
5162802022
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