Individual
ATISH JAISWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 CROSFIELD AVE, SUITE 318, WEST NYACK, NY 10994-2226
(419) 824-1100
(410) 824-1771
Mailing address
5300 HARROUN RD, # 304, SYLVANIA, OH 43560-2182
(419) 824-1100
(419) 824-1771
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
272565
NY
Other
Enumeration date
05/17/2010
Last updated
01/09/2015
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