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NPI Code Detail

MEDICARE: JAZRAWI ATALLAH, PC

MEDICARE: JAZRAWI ATALLAH, 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
1208800000XUrology Physician111323NY

General Provider Information

NPI Number : 1427009661
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAZRAWI ATALLAH, PC
Provider Business Mailing Address
First Line : 142 JORALEMON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4709
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 142 JORALEMON ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-4709
Country : US
Telephone Number : 718-643-9371
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : MAURICE JAZRAWI
Credential :
Telephone Number : 718-643-9371
Provider Enumeration Date : 05/12/2006
Last Update Date : 08/22/2020

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