Individual
KISHAL JAGDISH ACHARYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9114 MERRICK BLVD FL 6, JAMAICA, NY 11432-5363
(718) 722-6001
Mailing address
9114 MERRICK BLVD FL 6, JAMAICA, NY 11432-5363
(718) 722-6001
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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