Imam, Mohammed Mansoorul
Imam, Mohammed Mansoorul is an sole proprietor health care provider with primary practice located at 5611 94Th St Suite # Ln, Elmhurst NY 11373-5080. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Imam, Mohammed Mansoorul can be contacted via phone (718) 271-4424.Contact Information
Primary practice address
5611 94Th St Suite # Ln
Elmhurst NY 11373-5080
Phone: (718) 271-4424
Fax: (718) 271-4799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 049149 | New York |
Profile Details
| NPI number | 1598754947 |
|---|---|
| LBN Legal business name | Imam, Mohammed Mansoorul |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Nov 12th, 2010 - about 15 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 | 1598754947 | NPPES |
| New York | MEDICAID | 02241183 |
Popular Providers
-
Speziale, Steven
8315 Grand Ave , Elmhurst NY 11373-4104 -
Steczko, Ted S
8520 Elmhurst Ave Ste 1B , Elmhurst NY 11373-3351 -
Roa, Jose Aristides
4071 Denman St , Elmhurst NY 11373-1608 -
Abrams, Elizabeth
9438 59Th Ave , Elmhurst NY 11373-5151 -
Tiangco, Dolores Rodrigo
8708 Justice Ave Suite 2-O, Elmhurst NY 11373-4575 -
Gorbunov, Dmitry
9123 Queens Blvd , Elmhurst NY 11373-5531 -
Yeung, Paul Sum Tak
8708 Justice Ave Suite Ca, Elmhurst NY 11373-4575 -
Mia, Mohammad
4018 Case St , Elmhurst NY 11373-1614