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Jerisan Jeganathan, DPM
Student in an Organized Health Care Education/Training Program in Oceanside, New York
NPI 1376282319

Jerisan Jeganathan is a Student in an Organized Health Care Education/Training Program based in Staten Island, NY. Jerisan Jeganathan practices in Oceanside, NY and has the professional credentials of DPM. The NPI Number for Jerisan Jeganathan is 1376282319 and holds a License No. (New York).

The current practice location address for Jerisan Jeganathan is 1 Healthy Way, Oceanside, NY and can be reached out via phone at 516-632-3000.

Location: 1 Healthy Way, Oceanside, NY, 10314-6307
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376282319
Provider Name
Jerisan Jeganathan
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
1 Healthy Way, Oceanside, NY, 10314-6307
Phone Number
516-632-3000
Fax Number
Provider Enumeration Date
05/28/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 Healthy Way
City
Oceanside
State
New York
Zip
11572-1551
Phone Number
516-632-3000
Fax Number
person
Provider Business Mailing Address Details
Address
1 Healthy Way
City
Oceanside
State
New York
Zip
11572-1551
Phone Number
516-632-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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