Memon, Mushtaq
Memon, Mushtaq is an sole proprietor health care provider with primary practice located at 1050 Clove Rd , Staten Island NY 10301-3627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Memon, Mushtaq can be contacted via phone (718) 816-6440.Contact Information
Primary practice address
1050 Clove Rd
Staten Island NY 10301-3627
Phone: (718) 816-6440
Fax: (718) 816-3611
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 228479 | New York |
Profile Details
| NPI number | 1780645739 |
|---|---|
| LBN Legal business name | Memon, Mushtaq |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Oct 10th, 2012 - about 12 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 | 1780645739 | NPPES |
| New York | MEDICAID | 02457743 |
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