Mohammed Qamrul Islam
Neuromusculoskeletal Medicine (NMM)
40-27, 74th Street
Elmhurst
, New York 11040-2505
Mohammed Qamrul Islam
Neuromusculoskeletal Medicine (NMM)
40-27, 74th Street
Elmhurst
, New York 11040-2505
(718) 883-1311
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
Languages spoken
- English
Location
First Address
- Mohammed Qamrul Islam
- 4027 74th St
- Elmhurst, NY
- Zip : 11373-5603
- Fax : (718) 883-1311
- Phone : (718) 424-1300
Second Address
- Mohammed Qamrul Islam
- 40-27, 74th Street
- Elmhurst, NY
- Zip : 11040-2505
- Fax : (718) 424-1311
- Phone : (718) 424-1300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 248033 | NY |
National Provider Identifier
| NPI | 1245205012 |
|---|---|
| Provider Name | Mohammed Qamrul Islam |
| First Address | Elmhurst, NY 11373-5603 |
| Second Address | Elmhurst, NY 11040-2505 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/02/2006 |
| Last Update Date | 15/07/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A100092321 | MEDICARE GROUP (01) | NY |
| A400092328 | MEDICARE (01) | NY |
| H61304 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.