Basic Information
| Provider Information | |||||||||
| NPI: | 1689646424 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | FELIX I OVIASU MD PC AND MOHAMMED MUNEERUDDIN PHYSICIAN PC LLP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 253 | ||||||||
| Address2: | |||||||||
| City: | OLD WESTBURY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115680253 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 400 GARDEN CITY PLZ | ||||||||
| Address2: | SUITE 303 | ||||||||
| City: | GARDEN CITY | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115303322 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5167425700 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/06/2006 | ||||||||
| LastUpdateDate: | 12/03/2007 | ||||||||
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| AuthorizedOfficialLastName: | OVIASU | ||||||||
| AuthorizedOfficialFirstName: | FELIX | ||||||||
| AuthorizedOfficialMiddleName: | I | ||||||||
| AuthorizedOfficialTitleorPosition: | DIRECTOR OFFICER | ||||||||
| AuthorizedOfficialTelephone: | 5167425700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | 167440 | NY | Y | 193400000X MULTIPLE SINGLE SPECIALTY GROUP | Other Service Providers | Specialist |
No ID Information.