Provider Demographics
NPI:1538516380
Name:AHMAD, JENNIFER (MS SPECIAL EDUCATION)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:
Last Name:AHMAD
Suffix:
Gender:F
Credentials:MS SPECIAL EDUCATION
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3245 69TH ST
Mailing Address - Street 2:APT.#6G
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-2039
Mailing Address - Country:US
Mailing Address - Phone:718-612-6979
Mailing Address - Fax:
Practice Address - Street 1:535 8TH AVE
Practice Address - Street 2:(212) 787-9700
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10018-4305
Practice Address - Country:US
Practice Address - Phone:212-787-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-23
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist