MEDICARE: FELIX I OVIASU MD PC AND MOHAMMED MUNEERUDDIN PHYSICIAN PC LLP

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
1	174400000X	Specialist	167440	NY

General Provider Information

NPI Number	:	1689646424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FELIX I OVIASU MD PC AND MOHAMMED MUNEERUDDIN PHYSICIAN PC LLP

Provider Business Mailing Address
First Line	:	PO BOX 253
Second Line	:
City	:	OLD WESTBURY
State	:	NY
Zip	:	11568-0253
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 GARDEN CITY PLZ
Second Line	:	SUITE 303
City	:	GARDEN CITY
State	:	NY
Zip	:	11530-3322
Country	:	US
Telephone Number	:	516-742-5700
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OFFICER
Name	:	FELIX I OVIASU
Credential	:	MD
Telephone Number	:	516-742-5700

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	12/03/2007

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