Provider Demographics
NPI:1245956663
Name:3 DIMENSION MEDICAL PLLC
Entity type:Organization
Organization Name:3 DIMENSION MEDICAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:INAMULHAQUE
Authorized Official - Middle Name:
Authorized Official - Last Name:SABOOR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-623-2745
Mailing Address - Street 1:486 MCDONALD AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-3812
Mailing Address - Country:US
Mailing Address - Phone:646-623-2745
Mailing Address - Fax:
Practice Address - Street 1:JFK INTERNATIONAL AIRPORT TERMINAL 1 - BLDG 55 RM 4G09
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11430
Practice Address - Country:US
Practice Address - Phone:201-878-2619
Practice Address - Fax:973-858-0288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty