person
Ms. Shyan Indera Jagdeo, NP
Primary Care Nurse Practitioner in Long Beach, New York
NPI 1205459534

Shyan Indera Jagdeo is a Primary Care Nurse Practitioner based in Far Rockaway, NY and is specialized in Primary Care. Shyan Indera Jagdeo practices in Long Beach, NY and has the professional credentials of NP. The NPI Number for Shyan Indera Jagdeo is 1205459534 and holds a License No. 712437 (New York).

The current practice location address for Shyan Indera Jagdeo is 645 W Broadway, Long Beach, NY and can be reached out via phone at 516-889-1100 and via fax at 516-889-1531.

Location: 645 W Broadway, Long Beach, NY, 11691-1602
person
Provider Profile Details
NPI Number
1205459534
Provider Name
Shyan Indera Jagdeo
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
645 W Broadway, Long Beach, NY, 11691-1602
Phone Number
516-889-1100
Fax Number
516-889-1531
Provider Enumeration Date
05/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
645 W Broadway
City
State
Zip
11561-2956
Phone Number
516-889-1100
Fax Number
516-889-1531
person
Provider Business Mailing Address Details
Address
645 W Broadway
City
State
Zip
11561-2956
Phone Number
516-889-1100
Fax Number
516-889-1531
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
712437 (New York)
Definition
Definition to come...
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