Jamal, Nazreen
Jamal, Nazreen is an individual health care provider with primary practice located at 180 Fort Washington Ave # Hp1-104 , New York NY 10032-3722. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Jamal, Nazreen can be contacted via phone (212) 305-4705.Contact Information
Primary practice address
180 Fort Washington Ave # Hp1-104
New York NY 10032-3722
Phone: (212) 305-4705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD12694 | Rhode Island |
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | 276729 | New York |
Profile Details
| NPI number | 1659598308 |
|---|---|
| LBN Legal business name | Jamal, Nazreen |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Jun 1st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1659598308 | NPPES |
| Massachusetts | Other | 12/29/2008 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 007060580 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 02/12/2009 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 1659598308 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 12/08/2008 | TUFTS HEALTH PLAN |
| Massachusetts | MEDICAID | NJ72970 | TUFTS HEALTH PLAN |
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