Individual
JALEES AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 LILAC CT, FARMINGDALE, NY 11735-7007
(516) 302-6240
Mailing address
240 LILAC CT, FARMINGDALE, NY 11735-7007
(516) 302-6240
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
221623
NY
2084P0800X
Psychiatry Physician
Primary
221623
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02322118
—
NY
Enumeration date
08/03/2006
Last updated
06/06/2012
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