Individual
FOZIA JANGDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 MONTAUK HWY, WEST ISLIP, NY 11795-4927
(631) 376-3000
Mailing address
83 MCINTOSH CT, MALVERNE, NY 11565-1039
(516) 593-0273
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
271225
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2013
Last updated
09/30/2022
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