Jason Avinash Chandebal, PA

NPI #1619573631 in Glen Oaks, New York

Provider Information

NPI Number: 1619573631
Entity Type: Individual
Name: Jason Avinash Chandebal, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Dec 6, 2020
Last Updated: Sep 17, 2021

Practice Location

Address: 26701 HILLSIDE AVE
City: Glen Oaks
State: New York
ZIP Code: 11004-1743
Phone: (718) 343-7790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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