MEDICARE: AHAD MUZAMIL PA

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	363AM0700X	Medical Physician Assistant	021131	NY

General Provider Information

NPI Number	:	1851815831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AHAD MUZAMIL PA

Provider Business Mailing Address
First Line	:	15 UNDSET CT
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-6901
Country	:	US
Telephone Number	:	631-839-0087
Fax Number	:

Provider Business Practice Location Address
First Line	:	15 UNDSET CT
Second Line	:
City	:	DIX HILLS
State	:	NY
Zip	:	11746-6901
Country	:	US
Telephone Number	:	631-839-0087
Fax Number	:

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

Provider Enumeration Date	:	08/01/2017
Last Update Date	:	08/01/2017

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Directions to “ AHAD MUZAMIL PA” Practice Location

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