JISHA EDICHANDY

FLORAL PARK, NY
NPI1508161738
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CT  48653)
Enumeration Date2011-01-19
Last Update Date2011-01-19
Business Address
Dr. JISHA EDICHANDY D.O.
7632 264TH ST
FLORAL PARK, NY 11004-1145
Phone number: 917-647-7822
Mailing Address
Dr. JISHA EDICHANDY D.O.
7632 264TH ST
FLORAL PARK, NY 11004-1145
Phone number: