Individual
RITA JAMMAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-3269
Mailing address
3164 21ST ST APT 9B, ASTORIA, NY 11106-4575
(862) 200-8778
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
304297
NY
207RI0200X
Infectious Disease Physician
Primary
304297
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/08/2015
Last updated
06/03/2021
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