Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Q00000X | Family Doctor | 276283 | NY |
NPI | 1003182833 |
---|---|
Provider Name | Dr. Sonia Jamil |
First Address | Valley Stream, NY 11581-1419 |
Second Address | Bellerose, NY 11426-1147 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/03/2012 |
Last Update Date | 20/04/2015 |