Ansari, Mohammad
Ansari, Mohammad is an sole proprietor health care provider with primary practice located at 1335 Route 44 , Pleasant Valley NY 12569-7825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Ansari, Mohammad can be contacted via phone (845) 635-8789.Contact Information
Primary practice address
1335 Route 44
Pleasant Valley NY 12569-7825
Phone: (845) 635-8789
Fax: (845) 635-2141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 123867 | New York |
Profile Details
| NPI number | 1003916628 |
|---|---|
| LBN Legal business name | Ansari, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 24th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003916628 | NPPES |
| New York | MEDICAID | 00557759 |
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