Provider Demographics
NPI:1164910667
Name:JALAL, HAMZA (DO)
Entity Type:Individual
Prefix:DR
First Name:HAMZA
Middle Name:
Last Name:JALAL
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:16055 CROSS BAY BLVD
Mailing Address - Street 2:UNIT A
Mailing Address - City:HOWARD BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11414-3450
Mailing Address - Country:US
Mailing Address - Phone:718-210-4738
Mailing Address - Fax:888-498-4123
Practice Address - Street 1:16055 CROSS BAY BLVD
Practice Address - Street 2:UNIT A
Practice Address - City:HOWARD BEACH
Practice Address - State:NY
Practice Address - Zip Code:11414-3450
Practice Address - Country:US
Practice Address - Phone:718-210-4738
Practice Address - Fax:888-418-4123
Is Sole Proprietor?:No
Enumeration Date:2018-04-30
Last Update Date:2024-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY309012207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine