Gidwani, Jagdish

Gidwani, Jagdish is an sole proprietor health care provider with primary practice located at 646 Main St , Port Jefferson NY 11777-2235. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Gidwani, Jagdish can be contacted via phone (631) 928-6250.

Contact Information

Primary practice address
646 Main St Port Jefferson NY 11777-2235
Phone: (631) 928-6250
Fax: (631) 928-3010
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 166492-1 New York
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 166492-1 New York

Profile Details

NPI number 1962557629
LBN Legal business name Gidwani, Jagdish
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2007
Last updated Jan 18th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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