Individual provider · NPI-1
Jamaad Yusuf Abdi
Dentist · Bronx, NY
NPI number1609458421
StatusActive
Last updated in NPPESJul 26, 2024
Details
- NPI
- 1609458421
- Entity type
- Individual (NPI-1)
- Name
- Jamaad Yusuf Abdi
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 21, 2021
- Certification date
- Dec 26, 2023
- Last updated
- Jul 26, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 17818 | MD | Yes |
Practice location
4422 3rd AveBronx, NY 10457-2594
Phone 718-960-9000
Mailing address
21687 Channing CtAshburn, VA 20147-5847
Phone 703-554-0796
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