Javid, Ahmad

Javid, Ahmad is an individual health care provider with primary practice located at 24 Groton Ave , Cortland NY 13045-2014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Javid, Ahmad can be contacted via phone (607) 753-3774.

Contact Information

Primary practice address
24 Groton Ave Cortland NY 13045-2014
Fax: (607) 753-3947
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5166489 New York

Profile Details

NPI number 1205832151
LBN Legal business name Javid, Ahmad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2005
Last updated Dec 13th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205832151 NPPES
New York MEDICAID 01669089

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