Wyne, Jamshad Iqbal

Wyne, Jamshad Iqbal is an individual health care provider with primary practice located at 2248 Richmond Rd , Staten Island NY 10306-2542. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Wyne, Jamshad Iqbal can be contacted via phone (718) 351-0500.

Contact Information

Primary practice address
2248 Richmond Rd Staten Island NY 10306-2542
Fax: (718) 980-3666
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 205370 New York

Profile Details

NPI number 1396718086
LBN Legal business name Wyne, Jamshad Iqbal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 11th, 2006
Last updated Mar 14th, 2008 - about 16 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 1396718086 NPPES
New York MEDICAID 01714378

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