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General NPI Number Information
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NPI Number | 1821546417
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Entity Type | Individual
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Provider Name | MUEEN AHMAD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2016
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 7559 263RD ST
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City | GLEN OAKS
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State | NY
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Zip | 11004-1150
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Country | US
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Telephone | 718-470-8140
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Fax |
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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 | 631-997-7677
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Fax | 831-603-0302
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 302136
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License Number State | NY
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