Mustaque, Tahsin

Mustaque, Tahsin is an sole proprietor health care provider with primary practice located at 327 Beach 19Th St , Far Rockaway NY 11691-4423. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mustaque, Tahsin can be contacted via phone (718) 869-7000.

Contact Information

Primary practice address
327 Beach 19Th St Far Rockaway NY 11691-4423
Phone: (718) 869-7000
Fax: (718) 869-7940
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2019024565 Missouri
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 2019024565 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 317062 New York

Profile Details

NPI number 1295180016
LBN Legal business name Mustaque, Tahsin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2016
Last updated Apr 4th, 2024 - about 2 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 1295180016 NPPES
New York MEDICAID 07426704
New York MEDICAID 200060916

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