Jaber, Raja

Jaber, Raja is an individual health care provider with primary practice located at 2500 Nesconset Hwy Bld 16, Stony Brook NY 11790-2555. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Jaber, Raja can be contacted via phone (631) 444-6250.

Contact Information

Primary practice address
2500 Nesconset Hwy Bld 16 Stony Brook NY 11790-2555
Phone: (631) 444-6250
Fax: (631) 444-6665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 164456 New York

Profile Details

NPI number 1417999764
LBN Legal business name Jaber, Raja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 21st, 2014 - about 12 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 1417999764 NPPES
New York Other 4307709 AETNA
New York Other 47F501 AETNA
New York MEDICAID 01052184 AETNA

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