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General NPI Number Information
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NPI Number | 1225024987
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Entity Type | Individual
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Provider Name | LAEEQ AHMAD M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2005
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 3758 108TH ST
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City | CORONA
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State | NY
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Zip | 11368-2023
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Country | US
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Telephone | 718-592-1616
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Fax | 718-592-8165
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Provider Business Mailing Address
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Address Line | 1025 ISLIP AVE
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-4819
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Country | US
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Telephone | 631-234-3800
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Fax | 718-418-0886
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 194293
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License Number State | NY
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