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NPI Code Detail

MEDICARE: HUNTINGTON MEDICAL PRACTICE PLLC

MEDICARE: HUNTINGTON MEDICAL PRACTICE PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology Physician

General Provider Information

NPI Number : 1578146940
Entity Type Code : Organization
Provider Name (Legal Business Name) : HUNTINGTON MEDICAL PRACTICE PLLC
Provider Business Mailing Address
First Line : 2512 148TH ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-1433
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2512 148TH ST
Second Line :
City : FLUSHING
State : NY
Zip : 11354-1433
Country : US
Telephone Number : 717-716-7107
Fax Number :
Authorized Official
Title or Position : MD
Name : ABUL KASHEM
Credential :
Telephone Number : 717-716-7107
Provider Enumeration Date : 05/03/2021
Last Update Date : 03/29/2024

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Directions to “HUNTINGTON MEDICAL PRACTICE PLLC ” Practice Location

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