Abed Al-Mawla Jandali
Surgeon Family Doctor
13 Arch Street
Green Island
, New York 12183
Abed Al-Mawla Jandali
Surgeon Family Doctor
13 Arch Street
Green Island
, New York 12183
(518) 274-4654
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About
Features
Specialties
- Family Doctor
- Surgeon
Languages spoken
- English
Location
First Address
- Abed Al-Mawla Jandali
- 13 Arch Street
- Green Island, NY
- Zip : 12183
- Fax : (518) 274-4654
- Phone : (518) 274-4654
Second Address
- Abed Al-Mawla Jandali
- 13 Arch Street
- Green Island, NY
- Zip : 12183
- Fax : (518) 274-4654
- Phone : (518) 274-4654
Reviews
FAQs
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Is Abed Al-Mawla Jandali a sole practitioner?
Is Abed Al-Mawla Jandali accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 119867 | NY |
| Y | 208200000X | Surgeon | 119867 | NY |
| Y | 208600000X | Surgeon | 119867 | NY |
National Provider Identifier
| NPI | 1003918277 |
|---|---|
| Provider Name | Abed Al-Mawla Jandali |
| First Address | Green Island, NY 12183 |
| Second Address | Green Island, NY 12183 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/09/2006 |
| Last Update Date | 08/05/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000401344001 | BLUE SHIELD (01) | |
| 00525177 | (05) | NY |
| 10002646D252 | CDPHP (01) | |
| B79256 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.