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Contact Information

MOINUDDIN AHMED, MD
123 PIKE ST
SUITE 207
PORT JERVIS, NY12771-1824
 Phone: 845-856-2244
 Fax: 845-856-1166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOINUDDIN AHMED · (Male)

NPI Number 1336133420
Status Active
Credentials MD
Entity Individual
Enumeration date 09/06/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 60211958
  • NY Medicaid 02062875
Hospital affiliation(s)
  • BON SECOURS COMMUNITY HOSPITAL - (Acute Care)
    160 EAST MAIN STREET
    PORT JERVIS, NY 12771
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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