Individual provider · Type 1 NPI

Mudassir Mumtaz, MD

Neuroradiology Physician · New York, NY

NPI number 1639755218 Active

Practice location

One Gustave L. Levy Pl, Radiology, Mc Level
New York, NY 10029

Mailing address

75 N Country Rd
Port Jefferson, NY 11777-2190

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician Primary 2085N0700X334820 (NY)

Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

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About NPI 1639755218

Mudassir Mumtaz, MD's National Provider Identifier is 1639755218, issued on Mar 23, 2021. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in New York, NY. The record was last updated on Aug 16, 2026.