Individual provider · Type 1 NPI
Shyan Indera Jagdeo, NP
Primary Care Nurse Practitioner · Far Rockaway, NY
NPI number
1205459534
Active
Practice location
3224 Anchor Dr
Far Rockaway, NY 11691-1602
Fax (516) 531-8944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 309775 (NY) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1205459534
Shyan Indera Jagdeo, NP's National Provider Identifier is 1205459534, issued on May 21, 2020. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Far Rockaway, NY. The record was last updated on May 19, 2026.