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NPI Code Detail

MEDICARE: MS. JAMILA KHADIJAH ECHOLS RN

MEDICARE: MS. JAMILA KHADIJAH ECHOLS RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse669856NY

General Provider Information

NPI Number : 1861827164
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAMILA KHADIJAH ECHOLS RN
Provider Business Mailing Address
First Line : 820 THIERIOT AVE APT 8H
Second Line :
City : BRONX
State : NY
Zip : 10473-2810
Country : US
Telephone Number : 347-679-5830
Fax Number :
Provider Business Practice Location Address
First Line : 675 3RD AVE FL 5
Second Line :
City : NEW YORK
State : NY
Zip : 10017-5731
Country : US
Telephone Number : 646-292-3074
Fax Number : 212-973-1075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2013
Last Update Date : 09/06/2013

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