Organization
OZONE PARK QUALITY CARE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSAMMAT ROUNAK JAHAN MD (OWNER)
(718) 322-4014
Entity
Organization
Contact information
Practice address
7721 101ST AVE FL 1, OZONE PARK, NY 11416
(718) 322-4014
(718) 322-4015
Mailing address
1 JARA CT, NEW HYDE PARK, NY 11040-3117
(718) 322-4014
(718) 322-4015
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
285335
NY
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699188680
—
NY
Enumeration date
02/14/2018
Last updated
09/05/2018
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