Mantis, Jazila
Mantis, Jazila is an individual health care provider with primary practice located at 8268 164Th St , Jamaica NY 11432-1121. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Mantis, Jazila can be contacted via phone (718) 883-3225.Contact Information
Primary practice address
8268 164Th St
Jamaica NY 11432-1121
Phone: (718) 883-3225
Fax: (718) 883-6193
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 205564 | New York |
Profile Details
| NPI number | 1710082847 |
|---|---|
| LBN Legal business name | Mantis, Jazila |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Nov 7th, 2011 - about 15 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 | 1710082847 | NPPES |
| New York | MEDICAID | 00246075 |
Popular Providers
-
Punj, Sonia
10504 Sutphin Blvd , Jamaica NY 11435-5022 -
Thompson, Gregory Allen
33 W Monroe St Suite 600, Chicago IL 60603-5300 -
Lopez, Carlos E
275 Collier Rd Nw Ste 450, Atlanta GA 30309-1709 -
Abiad, Homer
15900 Cicero Ave , Oak Forest IL 60452-4006 -
Brachman, Philip Sigmund
1745 Peachtree Road, Suite U Kaiser Permanente Brookwood Medical Center, Atlanta GA 30309 -
Samuels, Jonathan Evan
15211 89Th Ave , Jamaica NY 11432-3730 -
Bagheri, Farshad
13420 Jamaica Ave , Jamaica NY 11418-2619 -
Fojtasek, Marvin F
2790 Lake Vista Dr , Lewisville TX 75067-3884