Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

M.q. Islam Physician PLLC

Organization Specialist · NPI 1053601005

M.q. Islam Physician PLLC is a Specialist in Manhasset Hills, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

20 Old Courthouse Rd
Manhasset Hills, NY 11040-1229
Phone: (718) 657-8525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 36373 (NY)

Record details

NPI number1053601005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohammed Islam — Medical Director · (718) 657-8525
NPI enumeratedApril 11, 2011
Last updated in NPPESApril 11, 2011
Mailing address16832 Highland Ave, Jamaica, NY 11432-2640

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