SHOABA JAIKISSOON

NEW HYDE PARK, NY
NPI1043825201
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  F346003-01)
Enumeration Date2020-09-14
Last Update Date2020-09-14
Business Address
SHOABA JAIKISSOON FNP
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042-1101
Phone number: 516-465-4377
Mailing Address
SHOABA JAIKISSOON FNP
410 LAKEVILLE RD
NEW HYDE PARK, NY 11042-1101
Phone number:
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