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1285375675
FAREEHA AJMAL
PORT JEFFERSON, NY
NPI
1285375675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
FAREEHA AJMAL DO
75 N COUNTRY RD
PORT JEFFERSON, NY 11777-2119
Phone number: 631-473-1320
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Mailing Address
FAREEHA AJMAL DO
3 DIANE WAY
LAKE GROVE, NY 11755-2707
Phone number: 631-889-2243
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