Organization
JSN PRIMARY CARE PHYSICIAN
Active
Other names
JSN Primary Care Physician
Organization subpart
No
Provider details
NPI number
Authorized official
JASVENDAR SINGH NANDRA MD (OWNER)
(407) 782-7448
Entity
Organization
Contact information
Practice address
10302 LEFFERTS BLVD, S RICHMOND HL, NY 11419-2012
(609) 592-2293
(347) 719-3010
Mailing address
10302 LEFFERTS BLVD, S RICHMOND HL, NY 11419-2012
(609) 592-2293
(347) 719-3010
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
03/08/2021
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