| Provider / Organization | NPI | Date Certified |
|---|---|---|
| AMANDEEP JASSAL | 1235722992 | 2021-02-14 |
Amandeep Jassal is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1235722992. Registration indicates Amandeep Jassal is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers) (Nursing Service Providers, Registered Nurse) (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Mr. Amandeep Jassal MSN, RN |
| Practice Office Address | 143 OLD COURTHOUSE RD NEW HYDE PARK, NY US |
| Practice Office Telephone | 9178654589 |
| Mailing Address | 143 OLD COURTHOUSE RD NEW HYDE PARK, NY 110401219 US |
| Business Telephone | 9178654589 |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 94192
CT |
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 617422
NY |