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Individual

KAMIL JAGHAB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6511
(516) 572-3210
Mailing address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-6511
(516) 572-3210

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
178633
NY
2084P0802X
Addiction Psychiatry Physician
178633
NY
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
178633
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01249807
NY
Enumeration date
04/03/2006
Last updated
04/14/2008
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