Provider Demographics
NPI:1295745784
Name:JALAJ, JAI K (MD)
Entity type:Individual
Prefix:DR
First Name:JAI
Middle Name:K
Last Name:JALAJ
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Gender:M
Credentials:MD
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Mailing Address - Street 1:66 MIDDLEBUSH RD
Mailing Address - Street 2:SUITE M206
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4098
Mailing Address - Country:US
Mailing Address - Phone:845-897-3210
Mailing Address - Fax:845-897-3290
Practice Address - Street 1:66 MIDDLEBUSH RD
Practice Address - Street 2:SUITE M206
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4098
Practice Address - Country:US
Practice Address - Phone:845-897-3210
Practice Address - Fax:845-897-3290
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2013-03-01
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Provider Licenses
StateLicense IDTaxonomies
NY166168207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01071310Medicaid
NY20E911Medicare PIN
NY01071310Medicaid