Individual
FATEMA JAHRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
130 E 77TH ST, NEW YORK, NY 10075-1851
(212) 434-3900
(212) 434-3899
Mailing address
9608 57TH AVE APT 5M, CORONA, NY 11368-3403
(929) 346-2440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
021160
NY
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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