Provider Demographics
NPI:1548917024
Name:SALAHUDDIN, JAMILLAH RASHEEDAH
Entity type:Individual
Prefix:MRS
First Name:JAMILLAH
Middle Name:RASHEEDAH
Last Name:SALAHUDDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 JEROME ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11207-7503
Mailing Address - Country:US
Mailing Address - Phone:718-207-6576
Mailing Address - Fax:718-927-9771
Practice Address - Street 1:707 JEROME ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11207-7503
Practice Address - Country:US
Practice Address - Phone:718-207-6576
Practice Address - Fax:718-927-9771
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-04
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency