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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

NPI # 1386748416
LBN Legal business name ABDUR R JALAZAI MD PC
Authorized official ABDUR JALALZAI - (OWNER PRESIDENT SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/11/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NY License # 126123
NY Medicaid 00615623
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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