Doctor Name: | DR. MOHAMMAD A BILAL |
NPI Number: | 1669422572 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 222725 |
Business Practice Address: | 80 Maple Ave Smithtown, NY - 117873520 |
Business Phone Number: | 6312655777 |
Business Fax Number: | 6312655797 |
Mailing Address: | 75 N Country Rd, PORT JEFFERSON |
State: | NY |
Postal Code: | 117772119 |
Phone Number: | 6314762767 |
Fax Number: | 6314730132 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 06/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 222725 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |