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General NPI Number Information
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NPI Number | 1700062247
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Entity Type | Organization
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Legal Business Name | JAMESTOWN PSYCHIATRIC PC
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Dates
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Enumeration Date | 01/15/2008
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Last Update Date | 03/15/2023
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Provider Practice Location Address
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Address Line | 1465 FOOTE AVENUE EXT
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City | JAMESTOWN
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State | NY
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Zip | 14701-9383
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Country | US
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Telephone | 716-526-4041
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Fax | 716-526-4161
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Provider Business Mailing Address
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Address Line | 1465 FOOTE AVENUE EXT
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City | JAMESTOWN
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State | NY
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Zip | 14701-9383
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Country | US
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Telephone | 716-526-4041
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Fax | 716-526-4161
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ISRAR A ABBASI
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Credential | MD
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Telephone | 716-665-0929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 254621
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License Number State | NY
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