Individual
NAZREEN JAMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 W 168TH ST # VC2-260, NEW YORK, NY 10032-3720
(212) 305-6059
Mailing address
180 FORT WASHINGTON AVE # HP1-104, NEW YORK, NY 10032-3722
(212) 305-4705
(212) 305-4705
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD12694
RI
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
276729
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007060580
RI MEDICARE
RI
01
—
02/12/2009
NHPRI
RI
01
—
12/08/2008
BCBSRI
RI
01
—
12/29/2008
TUFTS HEALTH PLAN
MA
01
—
1659598308
NPI
RI
05
—
NJ72970
—
RI
Enumeration date
04/20/2007
Last updated
08/18/2025
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