Amin, Anjumon A

Amin, Anjumon A is an individual health care provider with primary practice located at 550 Montauk Highway , Shirley NY 11967. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Amin, Anjumon A can be contacted via phone (631) 852-1001.

Contact Information

Primary practice address
550 Montauk Highway Shirley NY 11967
Fax: (631) 852-1122
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 196797 New York

Profile Details

NPI number 1891704011
LBN Legal business name Amin, Anjumon A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Dec 19th, 2011 - about 13 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 1891704011 NPPES
New York MEDICAID 01770167
New York Other 370008547

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