Individual
MR. JAWAD S BHUIYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8234 260TH ST, GLEN OAKS, NY 11004-1404
(347) 791-3468
Mailing address
255 BROADHOLLOW RD, MELVILLE, NY 11747-4822
(631) 385-7780
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
02/17/2025
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