Provider Information for 1245432194
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NASIR AHMED LCSW
Sex: Male
NPI: 1245432194
Last Updated: 2010-09-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1245432194 | ||||||||
| Enumeration Date | 2007-06-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 6002 QUEENS BLVD WOODSIDE, NY 11377-4973 United States Phone: 718-651-7770 | Fax:718-651-5029 | ||||||||
| Primary Practice Address | 87-08 JUSTICE AVENUE SUITE C7 ELMHURST, NY 11373-4590 United States Phone: 718-899-9810 | Fax:718-899-9699 | ||||||||
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