Healthcare Provider Details

I. General information

NPI: 1326348426
Provider Name (Legal Business Name): HUDA MEDICAL CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2010
Last Update Date: 06/06/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 BELMONT AVE
BROOKLYN NY
11212-6719
US

IV. Provider business mailing address

70 OLD WESTBURY RD
OLD WESTBURY NY
11568-1611
US

V. Phone/Fax

Practice location:
  • Phone: 718-395-6444
  • Fax: 718-395-6661
Mailing address:
  • Phone: 718-207-9550
  • Fax: 718-228-6727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: IJAZ AHMAD
Title or Position: OWNER
Credential:
Phone: 718-207-9550