Provider Demographics
NPI:1609012608
Name:JARRAL, ABDULMAJEED (BSPT,DPT)
Entity Type:Individual
Prefix:MR
First Name:ABDULMAJEED
Middle Name:
Last Name:JARRAL
Suffix:
Gender:M
Credentials:BSPT,DPT
Other - Prefix:MR
Other - First Name:ABDULMAJEED
Other - Middle Name:
Other - Last Name:JARRAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSPT,DPT
Mailing Address - Street 1:1176 STOCKTON PL
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-3239
Mailing Address - Country:US
Mailing Address - Phone:732-586-5780
Mailing Address - Fax:
Practice Address - Street 1:1181 NELSON AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10452-3602
Practice Address - Country:US
Practice Address - Phone:718-681-5216
Practice Address - Fax:718-293-9198
Is Sole Proprietor?:No
Enumeration Date:2008-12-21
Last Update Date:2008-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY016406-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist