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Mamoon Jallad, DMD
Student in an Organized Health Care Education/Training Program in Stony Brook, New York
NPI 1447016209

Mamoon Jallad is a Student in an Organized Health Care Education/Training Program based in Stony Brook, NY. Mamoon Jallad practices in Stony Brook, NY and has the professional credentials of DMD. The NPI Number for Mamoon Jallad is 1447016209 and holds a License No. (New York).

The current practice location address for Mamoon Jallad is 101 South Drive, Stony Brook, NY and can be reached out via phone at 631-632-8989.

Location: 101 South Drive, Stony Brook, NY, 11794-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447016209
Provider Name
Mamoon Jallad
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
101 South Drive, Stony Brook, NY, 11794-0001
Phone Number
631-632-8989
Fax Number
Provider Enumeration Date
02/27/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
101 South Drive
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-632-8989
Fax Number
person
Provider Business Mailing Address Details
Address
101 South Drive
City
Stony Brook
State
New York
Zip
11794-0001
Phone Number
631-632-8989
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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