Individual
MRS. KIRAN X JALAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
109 ELDER DR, MASTIC BEACH, NY 11951-5406
(631) 578-3043
Mailing address
109 ELDER DR, MASTIC BEACH, NY 11951-5406
(631) 578-3043
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
615216-1
NY
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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