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
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