Individual
DR. KAZI JANNATH ARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
8831 55TH AVE, ELMHURST, NY 11373-5293
(646) 680-4227
(718) 943-2625
Mailing address
8831 55TH AVE, ELMHURST, NY 11373-5293
(646) 680-4227
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
325549
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2020
Last updated
10/01/2024
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