Individual
MR. AMANDEEP JASSAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN
Contact information
Practice address
143 OLD COURTHOUSE RD, NEW HYDE PARK, NY 11040-1219
(917) 865-4589
Mailing address
143 OLD COURTHOUSE RD, NEW HYDE PARK, NY 11040-1219
(917) 865-4589
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
617422
NY
163W00000X
Registered Nurse
94192
CT
Other
Enumeration date
02/14/2021
Last updated
01/17/2024
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