Individual provider · Type 1 NPI

Ahmad Mustafa, MD

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1174085302 Active · reactivated Feb 5, 2020

Practice location

475 Seaview Avenue
Staten Island, NY 10305

Call (718) 226-8313 Map

Mailing address

475 Seaview Ave
Staten Island, NY 10305-3436

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000X244202

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1174085302

Ahmad Mustafa, MD's National Provider Identifier is 1174085302, issued on Apr 5, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 10, 2026.