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General NPI Number Information
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NPI Number | 1255036083
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Entity Type | Organization
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Legal Business Name | JA MEDICAL CARE PLLC
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 04/03/2023
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Provider Practice Location Address
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Address Line | 70 GLEN COVE RD STE 202
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City | ROSLYN HEIGHTS
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State | NY
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Zip | 11577-1730
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Country | US
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Telephone | 929-444-5230
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Fax | 401-340-1045
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Provider Business Mailing Address
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Address Line | 24825 NORTHERN BLVD STE 1J PMB 1001
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City | LITTLE NECK
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State | NY
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Zip | 11362-1280
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Country | US
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Telephone | 929-444-5230
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Fax | 401-340-1045
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAFREEN AHMED
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Credential | MD
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Telephone | 929-444-5230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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