Doctor Name: | MS. JASDEEP SANDHU |
NPI Number: | 1013110840 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RPA-C |
License Number: | 0111071 |
Business Practice Address: | 2 Pro Health Plz New Hyde Park, NY - 110421111 |
Business Phone Number: | 5166226110 |
Business Fax Number: | |
Mailing Address: | 4045 Hempstead Tpke, BETHPAGE |
State: | NY |
Postal Code: | 117145611 |
Phone Number: | 5163961030 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 09/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 0111071 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |