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NPI 1982329876

NPI 1982329876 : JANNATUN FERDOWSI : LLOYD HARBOR, NY

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General NPI Number Information
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    NPI Number           |    1982329876
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    Entity Type          |    Individual 
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    Provider Name        |    JANNATUN FERDOWSI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/04/2022
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    Last Update Date     |    01/20/2026
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Provider Practice Location Address
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    Address Line         |    5 COON HOLLOW RD 
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    City                 |    LLOYD HARBOR
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    State                |    NY
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    Zip                  |    11743-9723
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    Country              |    US
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    Telephone            |    844-469-1800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8215 LITTLE NECK PKWY 
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    City                 |    FLORAL PARK
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    State                |    NY
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    Zip                  |    11004-1420
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    016801
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    License Number State |    NY
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