| MM Islam MD PC | |
|
299 Fullerton Ave Newburgh NY 12550-3723 | |
| (845) 562-1900 | |
| (845) 562-2100 |
| Full Name | MM Islam MD PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 299 Fullerton Ave, Newburgh, New York |
| Authorized Official Name and Position | Mohammad M. Islam (PRESIDENT) |
| Authorized Official Contact | 8455621900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| MM Islam MD PC 299 Fullerton Ave Newburgh NY 12550-3723 Ph: (845) 562-1900 | MM Islam MD PC 299 Fullerton Ave Newburgh NY 12550-3723 Ph: (845) 562-1900 |
| NPI Number | 1285889881 |
|---|---|
| Provider Enumeration Date | 11/24/2008 |
| Last Update Date | 05/08/2026 |
| Certification Date | 05/08/2026 |
| Medicare PECOS PAC ID | 6709940307 |
|---|---|
| Medicare Enrollment ID | O20090127000140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285889881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| Provider Name | Mohammad M Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346325263 PECOS PAC ID: 9537249537 Enrollment ID: I20080103000293 |
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