| Abdur R Jalazai Md Pc | |
|
63 West Barney St Gouverneur NY 13642 | |
| (315) 287-1770 | |
| (315) 287-1170 |
| Full Name | Abdur R Jalazai Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 63 West Barney St, Gouverneur, New York |
| Authorized Official Name and Position | Abdur R Jalalzai (OWNER PRESIDENT SECRETARY) |
| Authorized Official Contact | 3155359229 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abdur R Jalazai Md Pc 63 West Barney St Gouverneur NY 13642 Ph: (315) 287-1770 | Abdur R Jalazai Md Pc 63 West Barney St Gouverneur NY 13642 Ph: (315) 287-1770 |
| NPI Number | 1386748416 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386748416 | NPI | - | NPPES |
| 00615623 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 126123 (New York) | Primary |
Timothy W. Moon,do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-3285 Fax: 315-287-3280 | |
Gouverneur Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Church St, Gouverneur, NY 13642 Phone: 315-287-1000 |