Individual
JAHIDUL ABEDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7036 BROADWAY, JACKSON HEIGHTS, NY 11372-6113
(718) 313-0822
(631) 546-7515
Mailing address
1 EXECUTIVE CT, DIX HILLS, NY 11746-5003
(718) 313-0822
(631) 546-7515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
255429
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03187895
—
NY
Enumeration date
08/06/2008
Last updated
12/16/2020
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