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Organization

MOHAMMAD DJAFARI MD

Active
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Organization

MOHAMMAD DJAFARI MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MOHAMMAD DJAFARI MD (OWNER)
(607) 753-3051
Entity
Organization

Contact information

Practice address
15-17 KENNEDY PARKWAY, CORTLAND, NY 13045
(607) 753-3051
(607) 753-7735
Mailing address
15-17 KENNEDY PARKWAY, CORTLAND, NY 13045
(607) 753-3051
(607) 753-7735

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
211106
NY
363A00000X
Physician Assistant
007997
NY
363LP0200X
Pediatric Nurse Practitioner
382461
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
H08462
NY
Enumeration date
12/13/2016
Last updated
12/13/2016
Update your record

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