Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 0527161 | NY |
NPI | 1043534167 |
---|---|
Provider Name | Dr. Majid Jamali |
First Address | New York, NY 10004-1617 |
Second Address | New York, NY 10004-9992 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2010 |
Last Update Date | 25/04/2013 |