Provider Demographics
NPI:1215331640
Name:JAMES JABILE, M.D. P. C.
Entity type:Organization
Organization Name:JAMES JABILE, M.D. P. C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:JABILE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-204-8448
Mailing Address - Street 1:3278 STEINWAY ST
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11103-4032
Mailing Address - Country:US
Mailing Address - Phone:718-204-8448
Mailing Address - Fax:718-204-8025
Practice Address - Street 1:3278 STEINWAY ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11103-4032
Practice Address - Country:US
Practice Address - Phone:718-204-8448
Practice Address - Fax:718-204-8025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-14
Last Update Date:2014-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267766261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care