Individual
KAZI NUSRAT JAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7901 BROADWAY, ELMHURST, NY 11373-1329
(806) 451-2814
Mailing address
7901 BROADWAY # D10-36, ELMHURST, NY 11373-1329
(718) 334-3501
(718) 334-5006
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
323442
NY
Other
Enumeration date
08/15/2019
Last updated
07/10/2023
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