Jennis Jagdeo-Dyal, PA

NPI #1972825941 in Syosset, New York

Provider Information

NPI Number: 1972825941
Entity Type: Individual
Name: Jennis Jagdeo-Dyal, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 18, 2010
Last Updated: Jan 12, 2016

Practice Location

Address: 221 JERICHO TPKE
City: Syosset
State: New York
ZIP Code: 11791-4515
Phone: (917) 213-8055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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