Individual
BHAGWATTIE D. JAGGERNAUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
670 LINCOLN PL, APT.2L, BROOKLYN, NY 11216-4432
(917) 573-7447
Mailing address
670 LINCOLN PL, APT.2L, BROOKLYN, NY 11216-4432
(917) 573-7447
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
292864-1
NY
Other
Enumeration date
02/20/2010
Last updated
02/20/2010
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