Healthcare Provider Details

I. General information

NPI: 1699684639
Provider Name (Legal Business Name): GARDEN HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14108 123RD AVE
JAMAICA NY
11436-1436
US

IV. Provider business mailing address

10106 112TH ST APT 1R
SOUTH RICHMOND HILL NY
11419-1861
US

V. Phone/Fax

Practice location:
  • Phone: 516-549-7748
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SULTAN MAHMOOD
Title or Position: PRESIDENT
Credential:
Phone: 516-549-7748