Individual
JASDEEP SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
300 COMMUNITY DR, MANHASSET, NY 11030-3876
(516) 562-0100
Mailing address
703 FORTE BLVD, FRANKLIN SQUARE, NY 11010-3305
(347) 968-0333
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
032278-01
NY
363AM0700X
Medical Physician Assistant
032278-01
NY
363AS0400X
Surgical Physician Assistant
Primary
032278-01
NY
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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