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

Mohammed Momin Ullah, AGPCNP

Individual provider Adult Health Nurse Practitioner · NPI 1760007496

Mohammed Momin Ullah, AGPCNP is an Internal Medicine in Buffalo, New York. Qualified in 2020, 6 years ago. Practices with Latina Medical Office PC, a 5-clinician group, works from 3 locations and offers telehealth. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020

Practice location Address checks out

2200 Genesee St
Buffalo, NY 14211-1947
Phone: (716) 895-2200
Fax: (716) 895-3300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 530 Conduit Blvd, Brooklyn, NY 11208-3245 — (718) 277-5500
  • 1275 York Ave, New York, NY 10065-6007 — (212) 639-6954

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 712521-1 (NY)

Record details

NPI number1760007496
Entity typeIndividual (Type 1)
GenderMale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedJune 9, 2020
Last updated in NPPESSeptember 14, 2022
Certification dateSeptember 14, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Latina Medical Office Pc — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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