Individual
JAFEEN ILMUDEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
186 JORALEMON ST, BROOKLYN, NY 11201-4356
(929) 455-2399
Mailing address
16 E 16TH ST, NEW YORK, NY 10003-3105
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
301420
NY
Other
Enumeration date
04/25/2016
Last updated
07/08/2021
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