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Contact Information

MOHAMMAD DJAFARI MD
15-17 KENNEDY PARKWAY
CORTLAND, NY13045
 Phone: 607-753-3051
 Fax: 607-753-7735
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MOHAMMAD DJAFARI MD

NPI Number 1457895278
LBN Legal business name MOHAMMAD DJAFARI MD
Authorized official MOHAMMAD DJAFARI - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2016
Last updated 12/13/2016 - About 9 years ago
Identifiers
NY License # 007997
NY License # 211106
NY License # 382461
NY Medicaid H08462
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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