Provider Demographics
NPI:1457169187
Name:JAMA 4343 INC.
Entity type:Organization
Organization Name:JAMA 4343 INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMSHEDJON
Authorized Official - Middle Name:
Authorized Official - Last Name:ISKANDAROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-469-5050
Mailing Address - Street 1:14935 177TH ST STE 101
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11434-6217
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14935 177TH ST STE 101
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11434-6217
Practice Address - Country:US
Practice Address - Phone:718-534-1441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies