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 provides Specialist services 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 Not confirmed with CMS for 15 years — call before visiting
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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