Individual
MS. JENNAT Z MUSTAFA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(718) 920-4321
Mailing address
145 W 67TH ST APT 26A, NEW YORK, NY 10023-5937
(508) 868-6649
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
018945-1
NY
Other
Enumeration date
08/26/2015
Last updated
07/19/2022
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