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Shoaba Jaikissoon, FNP
Family Nurse Practitioner in New Hyde Park, New York
NPI 1043825201

Shoaba Jaikissoon is a Family Nurse Practitioner based in New Hyde Park, NY and is specialized in Family. Shoaba Jaikissoon practices in New Hyde Park, NY and has the professional credentials of FNP. The NPI Number for Shoaba Jaikissoon is 1043825201 and holds a License No. F346003-01 (New York).

The current practice location address for Shoaba Jaikissoon is 410 Lakeville Rd, New Hyde Park, NY and can be reached out via phone at 516-465-4377.

Location: 410 Lakeville Rd, New Hyde Park, NY, 11042-1101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043825201
Provider Name
Shoaba Jaikissoon
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
410 Lakeville Rd, New Hyde Park, NY, 11042-1101
Phone Number
516-465-4377
Fax Number
Provider Enumeration Date
09/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
410 Lakeville Rd
City
New Hyde Park
State
New York
Zip
11042-1101
Phone Number
516-465-4377
Fax Number
person
Provider Business Mailing Address Details
Address
410 Lakeville Rd
City
New Hyde Park
State
New York
Zip
11042-1101
Phone Number
516-465-4377
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
F346003-01 (New York)
Definition
Definition to come...
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