Individual
DR. MOHAMMED JAHANGIR ALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 PATRIOTS RD, STONY BROOK, NY 11790-3318
(631) 444-8608
(631) 444-8778
Mailing address
100 PATRIOTS RD, STONY BROOK, NY 11790-3318
(631) 444-8608
(631) 444-8778
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
217943
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
217943
NYS LICENSE
NY
Enumeration date
10/25/2006
Last updated
05/21/2023
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