Individual
JASMEET K MAHANDRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41 BREWSTER RD, BRISTOL, CT 06010-5141
(860) 585-3000
Mailing address
341 FERN ST, SOUTH HEMPSTEAD, NY 11550-7721
(516) 852-0137
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
682078
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
12136
CT
Other
Enumeration date
04/25/2023
Last updated
10/18/2023
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