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Contact Information

MOHAMMAD A MOHYUDDIN, MD
1981 MARCUS AVE
SUITE 225
LAKE SUCCESS, NY11042
 Phone: 516-355-2273
 Fax: 516-326-2273
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MOHAMMAD A MOHYUDDIN · (Male)

NPI # 1316122070
Status Active
Credentials MD
Entity Individual
Enumeration date 12/31/2007
Last updated 12/31/2007 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 030391
  • NY License # 220444
Hospital affiliation(s) Not Available
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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