# JAYARAM MEDICAL, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174719348
- **Authorized official:** DR. SARASAVANI JAYARAM. MD. (OWNER/MD.)
- **Authorized official phone:** (718) 628-5977

## Contact information

- **Practice address:** 380 GROVE STREET, BROOKLYN, NY 11237
- **Practice address phone:** (718) 628-5977
- **Practice address fax:** (718) 628-5978
- **Mailing address:** 174 GRAND ST, WHITE PLAINS, NY 10601-4803
- **Mailing address phone:** (914) 328-8077
- **Mailing address fax:** (914) 328-6083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 159265 | NY | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 06/26/2015