Individual
JABER ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED
Contact information
Practice address
174 DELAWARE AVE, FREEPORT, NY 11520-1315
(646) 644-0269
Mailing address
174 DELAWARE AVE, FREEPORT, NY 11520-1315
(646) 644-0269
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
NY
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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