Individual provider · Type 1 NPI

Briana Ruth Jagdharry, PA-C

Medical Physician Assistant · New Hyde Park, NY

NPI number 1669017588 Active

Practice location

27005 76th Ave
New Hyde Park, NY 11040-1402

Mailing address

175-02 89th Avenue
Jamaica, NY 11432

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

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About NPI 1669017588

Briana Ruth Jagdharry, PA-C's National Provider Identifier is 1669017588, issued on Nov 14, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in New Hyde Park, NY. The record was last updated on Nov 14, 2019.