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Organization

787 MEDICAL PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MUHAMMAD JALALUDDIN MD (DIRECTOR)
(210) 268-5398
Entity
Organization

Contact information

Practice address
235 FOREST AVE, GLEN COVE, NY 11542-2034
(718) 285-7023
(516) 671-6372
Mailing address
217 OLD ITHACA RD, HORSEHEADS, NY 14845-1778
(607) 731-4644

Taxonomy

Speciality
Code
Description
License number
State
163WP0000X
Pain Management Registered Nurse
202D00000X
Integrative Medicine Physician
Primary
202K00000X
Phlebology Physician
207QA0401X
Addiction Medicine (Family Medicine) Physician
207QB0002X
Obesity Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207T00000X
Neurological Surgery Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician
363A00000X
Physician Assistant
363L00000X
Nurse Practitioner

Other

Enumeration date
05/24/2025
Last updated
04/01/2026
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