Individual
SYEDA JAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22004 LINDEN BLVD, JAMAICA, NY 11411-1621
(718) 712-3358
Mailing address
22004 LINDEN BLVD, JAMAICA, NY 11411-1621
(718) 712-3358
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NB25490K
—
NY
Enumeration date
12/31/2018
Last updated
12/31/2018
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