| Jalees Ahmed Physician Pc | |
|
240 Lilac Ct Farmingdale NY 11735-7007 | |
| (516) 302-6240 | |
| Not Available |
| Full Name | Jalees Ahmed Physician Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 240 Lilac Ct, Farmingdale, New York |
| Authorized Official Name and Position | Jalees Ahmed (MD/OWNER) |
| Authorized Official Contact | 5163026240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jalees Ahmed Physician Pc 240 Lilac Ct Farmingdale NY 11735-7007 Ph: (516) 302-6240 | Jalees Ahmed Physician Pc 240 Lilac Ct Farmingdale NY 11735-7007 Ph: (516) 302-6240 |
| NPI Number | 1992441349 |
|---|---|
| Provider Enumeration Date | 05/09/2022 |
| Last Update Date | 05/09/2022 |
| Certification Date | 05/09/2022 |
| Medicare PECOS PAC ID | 4082093133 |
|---|---|
| Medicare Enrollment ID | O20220620000997 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992441349 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jalees Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215945811 PECOS PAC ID: 6002808854 Enrollment ID: I20040401000103 |
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