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1508161738
JISHA EDICHANDY
FLORAL PARK, NY
NPI
1508161738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: CT 48653)
Enumeration Date
2011-01-19
Last Update Date
2011-01-19
Business Address
Dr. JISHA EDICHANDY D.O.
7632 264TH ST
FLORAL PARK, NY 11004-1145
Phone number: 917-647-7822
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Mailing Address
Dr. JISHA EDICHANDY D.O.
7632 264TH ST
FLORAL PARK, NY 11004-1145
Phone number:
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