LATIFA JANICE JALALI DEGRAFT-JOHNSON

NEW YORK, NY
NPI1538111471
Former NameLATIFA JANICE JALALI
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: NY  237874)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  ME105724)
Enumeration Date2006-05-17
Last Update Date2024-10-29
Business Address
LATIFA JANICE JALALI DEGRAFT-JOHNSON M.D.
228 PARK AVE S # 76071
NEW YORK, NY 10003-1502
Phone number: 646-863-1411
Mailing Address
LATIFA JANICE JALALI DEGRAFT-JOHNSON M.D.
450 W 42ND ST APT 39D
NEW YORK, NY 10036-6881
Phone number: