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Contact Information

ABDUR R JALAZAI MD PC
63 WEST BARNEY ST
GOUVERNEUR, NY13642
 Phone: 315-287-1770
 Fax: 315-287-1170
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ABDUR R JALAZAI MD PC · (Female)

NPI Number 1386748416
Status Active
Credentials
Entity Individual
Enumeration date 09/11/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 126123
  • NY Medicaid 00615623
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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