Jagdeo, Shyan Indera
Jagdeo, Shyan Indera is an individual health care provider with primary practice located at 645 W Broadway , Long Beach NY 11561-2956. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Jagdeo, Shyan Indera can be contacted via phone (516) 889-1100.Contact Information
Primary practice address
645 W Broadway
Long Beach NY 11561-2956
Phone: (516) 889-1100
Fax: (516) 889-1531
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 712437 | New York |
Profile Details
| NPI number | 1205459534 |
|---|---|
| LBN Legal business name | Jagdeo, Shyan Indera |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2020 |
| Last updated | May 21st, 2020 - about 4 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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