MEDICARE: DR. JIHAD HASSAN ABIALMOUNA M.D.

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	207RR0500X	Rheumatology Physician	187463	NY

General Provider Information

NPI Number	:	1396793782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JIHAD HASSAN ABIALMOUNA M.D.

Provider Business Mailing Address
First Line	:	2800 SWEET HOME RD
Second Line	:	SUITE#6
City	:	WEST AMHERST
State	:	NY
Zip	:	14228-1300
Country	:	US
Telephone Number	:	716-691-1300
Fax Number	:	716-691-5044

Provider Business Practice Location Address
First Line	:	2800 SWEET HOME RD
Second Line	:	SUITE#6
City	:	WEST AMHERST
State	:	NY
Zip	:	14228-1300
Country	:	US
Telephone Number	:	716-691-1300
Fax Number	:	716-691-5044

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	03/05/2009

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