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Individual
USAMA JAVED
Active
Individual
USAMA JAVED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
061090
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDICAID IN PROGRESS
MEDICAID IN PROGRESS
NY
Enumeration date
04/12/2016
Last updated
04/12/2016
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