Individual
JAISON MEDAYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1236 RXR PLZ, UNIONDALE, NY 11556-1236
(516) 474-5212
Mailing address
485 NASSAU BLVD, WEST HEMPSTEAD, NY 11552-2830
(516) 474-5212
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
330681
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2020
Last updated
06/30/2024
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