person
Mubushar Ikram Raza
Adult Health Nurse Practitioner in Huntington Station, New York
NPI 1588017164

Mubushar Ikram Raza is an Adult Health Nurse Practitioner based in Huntington Station, NY and is specialized in Adult Health. Mubushar Ikram Raza practices in Huntington Station, NY. The NPI Number for Mubushar Ikram Raza is 1588017164 and holds a License No. 307814 (New York).

The current practice location address for Mubushar Ikram Raza is 1757 New York Ave, Huntington Station, NY and can be reached out via phone at 631-983-3237 and via fax at 631-961-8775.

Location: 1757 New York Ave, Huntington Station, NY, 11746-2407
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Provider Profile Details
NPI Number
1588017164
Provider Name
Mubushar Ikram Raza
Credential
Provider Entity Type
Individual
Gender
Male
Address
1757 New York Ave, Huntington Station, NY, 11746-2407
Phone Number
631-983-3237
Fax Number
631-961-8775
Provider Enumeration Date
07/19/2016
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
307814 01 NY 307814
institution
Provider Business Practice Location Address Details
Address
1757 New York Ave
City
State
Zip
11746-2407
Phone Number
631-983-3237
Fax Number
631-961-8775
person
Provider Business Mailing Address Details
Address
1757 New York Ave
City
State
Zip
11746-2407
Phone Number
631-983-3237
Fax Number
631-961-8775
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
307814 (New York)
Definition
Definition to come...
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