Jahanara Reza MD PC
Internal Medicine in Washingtonville, NY. Organization (NPI-2).
NPI number1265978613
StatusActive
Last updated in NPPESAug 1, 2022
Details
- NPI
- 1265978613
- Entity type
- Organization (NPI-2)
- Legal business name
- Jahanara Reza MD PC
- Organization subpart
- No
- Enumeration date
- Jan 10, 2017
- Certification date
- Aug 1, 2022
- Last updated
- Aug 1, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | NY | Yes |
Practice location
67 E Main StWashingtonville, NY 10992-1212
Phone 845-496-8466
Mailing address
67 E Main StWashingtonville, NY 10992-1212
Phone 845-496-8466
Authorized official
Jahanara Reza
MD
8457388770
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