Butt, Afzal M

Butt, Afzal M is an sole proprietor health care provider with primary practice located at 912 Roanoke Ave , Riverhead NY 11901-2732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Butt, Afzal M can be contacted via phone (631) 369-8000.

Contact Information

Primary practice address
912 Roanoke Ave Riverhead NY 11901-2732
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 170228 New York

Profile Details

NPI number 1083653794
LBN Legal business name Butt, Afzal M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Mar 13th, 2008 - about 16 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 1083653794 NPPES
New York MEDICAID 01015127

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