Noori, Mohammed Yaqub

Noori, Mohammed Yaqub is an individual health care provider with primary practice located at 101 Hospital Rd , E Patchogue NY 11772-4870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Noori, Mohammed Yaqub can be contacted via phone (631) 687-4131.

Contact Information

Primary practice address
101 Hospital Rd E Patchogue NY 11772-4870
Fax: (631) 654-7376
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 233316 New York

Profile Details

NPI number 1568526259
LBN Legal business name Noori, Mohammed Yaqub
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Jul 20th, 2010 - about 14 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 1568526259 NPPES
New York MEDICAID 02587644
New York Other 125SB1
New York Other P00270687

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