Individual
HITENDER JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
(631) 669-3051
Mailing address
540 UNION BLVD, WEST ISLIP, NY 11795-3105
(631) 669-2555
(631) 669-3051
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
237892
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03232455
—
NY
Enumeration date
03/28/2008
Last updated
08/25/2014
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