MEDICARE: TUHIN AHMED MSED SPECIAL ED

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	822635141	NY

General Provider Information

NPI Number	:	1700293263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TUHIN AHMED MSED SPECIAL ED

Provider Business Mailing Address
First Line	:	3250 BROADWAY
Second Line	:	1D
City	:	NEW YORK
State	:	NY
Zip	:	10027-2301
Country	:	US
Telephone Number	:	347-822-0079
Fax Number	:

Provider Business Practice Location Address
First Line	:	3250 BROADWAY
Second Line	:	1D
City	:	NEW YORK
State	:	NY
Zip	:	10027-2301
Country	:	US
Telephone Number	:	347-822-0079
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/16/2014
Last Update Date	:	08/11/2014

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Directions to “ TUHIN AHMED MSED SPECIAL ED” Practice Location

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