MEDICARE: JMR MEDICAL PC

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
1	174400000X	Specialist	237111	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1750399523	OTHER		INDIVIDUAL NPI

General Provider Information

NPI Number	:	1003083320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JMR MEDICAL PC

Provider Business Mailing Address
First Line	:	3857 KINGS HWY APT 1I
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3857 KINGS HWY APT 1I
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-2926
Country	:	US
Telephone Number	:	718-338-2616
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SAWEY HARHASH
Credential	:
Telephone Number	:	718-338-2616

Provider Enumeration Date	:	05/15/2008
Last Update Date	:	05/15/2008

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Directions to “JMR MEDICAL PC ” Practice Location

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