Individual
AHMAD JAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 GROTON AVE, CORTLAND, NY 13045-2014
(607) 753-3774
(607) 753-3947
Mailing address
85 SOUTH WEST STREET, HOMER, NY 13077
(607) 753-3797
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5166489
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01669089
—
NY
Enumeration date
06/24/2005
Last updated
12/13/2017
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