MEDICARE: DR. JAMEELA JAHAAN YUSUFF MD

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	207RI0200X	Infectious Disease Physician	231242	NY

General Provider Information

NPI Number	:	1124051388
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMEELA JAHAAN YUSUFF MD

Provider Business Mailing Address
First Line	:	1920 BROOKHAVEN AVE
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-3626
Country	:	US
Telephone Number	:	718-347-3627
Fax Number	:	347-619-9092

Provider Business Practice Location Address
First Line	:	1920 BROOKHAVEN AVE
Second Line	:
City	:	FAR ROCKAWAY
State	:	NY
Zip	:	11691-3626
Country	:	US
Telephone Number	:	718-347-3627
Fax Number	:	347-619-9092

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2006
Last Update Date	:	03/18/2026

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