| Abdur R Jalazai Md Pc | |
| 
					63 West Barney St Gouverneur NY 13642  | |
| (315) 287-1770 | |
| (315) 287-1170 | 
| Full Name | Abdur R Jalazai Md Pc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 63 West Barney St, Gouverneur, New York | 
| Authorized Official Name and Position | Abdur R Jalalzai (OWNER PRESIDENT SECRETARY) | 
| Authorized Official Contact | 3155359229 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Abdur R Jalazai Md Pc 63 West Barney St Gouverneur NY 13642 Ph: (315) 287-1770  | Abdur R Jalazai Md Pc 63 West Barney St Gouverneur NY 13642 Ph: (315) 287-1770  | 
| NPI Number | 1386748416 | 
|---|---|
| Provider Enumeration Date | 09/11/2006 | 
| Last Update Date | 08/22/2020 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1386748416 | NPI | - | NPPES | 
| 00615623 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 126123 (New York) | Primary | 
Riutta Chiropractic Wellness Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 209 E Main St, Gouverneur, NY 13642 Phone: 315-778-0006  | |
Timothy W. Moon,do, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 77 W Barney St, Gouverneur, NY 13642 Phone: 315-287-3285 Fax: 315-287-3280  | |
Gouverneur Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Church St, Gouverneur, NY 13642 Phone: 315-287-1000  |