ABED AL-MAWLA JANDALI M.D. PC NPI 1083950117

NPI Information

  • NPI: 1083950117
  • Provider Name: ABED AL-MAWLA JANDALI M.D. PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 13 ARCH ST
    GREEN ISLAND, NY
    ZIP 12183
  • Phone: (518) 274-4654

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NPI Details

ABED AL-MAWLA JANDALI M.D. PC is a primary care clinic center in Green Island, NY. ABED AL-MAWLA JANDALI M.D. PC NPI is 1083950117. The provider is registered as an organization entity type.

The provider's business location address is:

13 ARCH ST
GREEN ISLAND, NY
ZIP 12183-329
Phone: (518) 274-4654
Fax: (518) 274-4654

The provider's authorized official is Abed Al-mawla Jandali Pc .
The authorized official title is Owner and has the following contact phone number (518) 274-4654.

The enumeration date for this NPI number is 12/18/2012 and was last updated on 5/1/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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