Provider Demographics
NPI:1891475315
Name:JAVERIA SAHIB DIN CORPORATION
Entity Type:Organization
Organization Name:JAVERIA SAHIB DIN CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAVERIA
Authorized Official - Middle Name:
Authorized Official - Last Name:DIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:929-327-5444
Mailing Address - Street 1:1 AVALON WAY UNIT 4101
Mailing Address - Street 2:
Mailing Address - City:BOONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07005-2356
Mailing Address - Country:US
Mailing Address - Phone:973-525-9540
Mailing Address - Fax:
Practice Address - Street 1:1501 VOORHIES AVE APT 7G
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3989
Practice Address - Country:US
Practice Address - Phone:929-327-5444
Practice Address - Fax:201-604-7996
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty