Mohidin, Mumtaz
Mohidin, Mumtaz is an sole proprietor health care provider with primary practice located at 431 Deer Park Ave , Babylon NY 11702-2315. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is her primary health care specialty. Mohidin, Mumtaz can be contacted via phone (631) 376-1101.Contact Information
Primary practice address
431 Deer Park Ave
Babylon NY 11702-2315
Phone: (631) 376-1101
Fax: (631) 376-1139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 184482 | New York |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 184482 | New York |
Profile Details
| NPI number | 1689625253 |
|---|---|
| LBN Legal business name | Mohidin, Mumtaz |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Nov 5th, 2009 - about 17 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 | 1689625253 | NPPES |
| New York | Other | 2511488 | GHI |
| New York | Other | 184482 | GHI |
| New York | Other | 3X1011 | GHI |
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