Provider Demographics
NPI:1588619860
Name:MOBEEN, JAFFER (MD)
Entity Type:Individual
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First Name:JAFFER
Middle Name:
Last Name:MOBEEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2 CATHARINE STREET, P.O. BOX 550
Mailing Address - Street 2:ANESTHESIOLOGIST ASSOCIATE OF WESTCHESTER PC
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12602
Mailing Address - Country:US
Mailing Address - Phone:914-378-7708
Mailing Address - Fax:845-790-2675
Practice Address - Street 1:127 SOUTH BROADWAY
Practice Address - Street 2:ST. JOSEPHS MEDICAL CENTER
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10701
Practice Address - Country:US
Practice Address - Phone:914-378-7000
Practice Address - Fax:718-604-5571
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2011-09-12
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Provider Licenses
StateLicense IDTaxonomies
NY256414207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA400054840Medicare PIN