MEDICARE: DR. SAMIE JAFFREY

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	235500000X	Speech/Language/Hearing Specialist/Technologist
2	261QR1100X	Research Clinic/Center

General Provider Information

NPI Number	:	1851155378
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMIE JAFFREY

Provider Business Mailing Address
First Line	:	400 E 77TH ST APT 1D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-2366
Country	:	US
Telephone Number	:	347-746-0149
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 E 77TH ST APT 1D
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10075-2366
Country	:	US
Telephone Number	:	347-746-0149
Fax Number	:

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

Provider Enumeration Date	:	02/07/2024
Last Update Date	:	02/07/2024

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Directions to “ DR. SAMIE JAFFREY ” Practice Location

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