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Individual

DR. SARADA JAIMUNGAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2209 MERRICK RD STE 100, MERRICK, NY 11566-4770
(516) 546-5000
(516) 546-0596
Mailing address
1 HEALTHY WAY, OCEANSIDE, NY 11572-1551
(516) 632-3000

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
26142
WV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
303507
NY
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
26142
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3810029652
MEDICAID
WV
05
WV5791A
WV
Enumeration date
07/10/2009
Last updated
11/17/2020
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