MEDICARE: HOSNEARA JINNAT 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	207R00000X	Internal Medicine Physician	240846	NY

General Provider Information

NPI Number	:	1417968140
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOSNEARA JINNAT MD

Provider Business Mailing Address
First Line	:	8115 266TH ST
Second Line	:
City	:	GLEN OAKS
State	:	NY
Zip	:	11004-1538
Country	:	US
Telephone Number	:	718-801-3072
Fax Number	:

Provider Business Practice Location Address
First Line	:	3743 76TH ST
Second Line	:
City	:	JACKSON HEIGHTS
State	:	NY
Zip	:	11372-6533
Country	:	US
Telephone Number	:	718-779-8963
Fax Number	:	718-779-8970

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

Provider Enumeration Date	:	08/10/2006
Last Update Date	:	06/06/2014

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