Ahmed, Moinuddin

Ahmed, Moinuddin is an individual health care provider with primary practice located at 123 Pike St Suite 207, Port Jervis NY 12771-1824. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Ahmed, Moinuddin can be contacted via phone (845) 856-2244.

Contact Information

Primary practice address
123 Pike St Suite 207 Port Jervis NY 12771-1824
Phone: (845) 856-2244
Fax: (845) 856-1166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 60211958 New York

Profile Details

NPI number 1336133420
LBN Legal business name Ahmed, Moinuddin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336133420 NPPES
New York MEDICAID 02062875

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