Individual
EDWARD JIKHARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
200 WIRELESS BLVD, HAUPPAUGE, NY 11788-3974
(631) 853-6410
Mailing address
745 10TH ST, ISLIP TERRACE, NY 11752-1706
(207) 832-1936
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
474007
NY
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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