Individual
FAREEHA AJMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 473-1320
Mailing address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 889-2243
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
333529-01
NY
208M00000X
Hospitalist Physician
Primary
333529-01
NY
Other
Enumeration date
04/07/2022
Last updated
11/07/2025
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