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Contact Information

NNEKA JAGDEO
157 E WOODSIDE AVE
PATCHOGUE, NY11772-1421
 Phone: 631-475-1900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for NNEKA JAGDEO · (Female)

NPI # 1568122075
Status Active
Credentials
Entity Individual
Enumeration date 12/23/2021
Last updated 04/14/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 348601
Hospital affiliation(s)
  • NYU HOSPITALS CENTER - (Acute Care)
    550 FIRST AVENUE
    NEW YORK, NY 10016
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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