Individual
JAVERIA NASIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
(631) 686-7972
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
261711
NY
208M00000X
Hospitalist Physician
Primary
261711
NY
Other
Enumeration date
07/01/2008
Last updated
11/04/2025
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