Organization
J PAIN & SPINE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD JALALUDDIN MD (OWNER SOLE MEMBER)
(607) 731-4644
Entity
Organization
Contact information
Practice address
217 OLD ITHACA RD, HORSEHEADS, NY 14845
(607) 731-4644
(607) 776-1783
Mailing address
315 CHELSEA COURT, HORSEHEADS, NY 14845
(607) 731-4644
(607) 776-1783
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
273984-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03081674
—
NY
Enumeration date
09/05/2017
Last updated
09/05/2017
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