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Individual

DR. SHUCHIE JAGGI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
865 NORTHERN BLVD, SUITE 203, GREAT NECK, NY 11021
(516) 708-2540
(516) 708-2690
Mailing address
865 NORTHERN BLVD, SUITE 203, GREAT NECK, NY 11021
(516) 708-2540
(516) 708-2690

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
290188
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
290188
NY

Other

Enumeration date
04/10/2012
Last updated
05/18/2021
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