Most Relevant Information
Provider Data
| NPI Number: | 1003548116 |
| Provider Name: | AQSA MUMTAZ M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/28/2022 |
| Last Updated: | 11/07/2022 |
Provider Practice Location
70 DUBOIS STREET,
NEWBURGH
NY
12550
Practice Location Phone/Fax
| Phone: | 8455614400 |
| Fax: |
Provider Mailing Location
70 DUBOIS STREET,
NEWBURGH
NY
12550
Provider Mailing Phone/Fax
| Phone: | 8455614400 |
| Fax: |