Organization
JUMPSTART MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHALENA ISLAM MD (MEDICAL DIRECTOR)
(917) 496-9000
Entity
Organization
Contact information
Practice address
14242 BOOTH MEMORIAL AVE, FLUSHING, NY 11355-5387
(917) 496-9000
Mailing address
14242 BOOTH MEMORIAL AVE, FLUSHING, NY 11355-5387
(917) 496-9000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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