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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JAGDISH GIDWANI, M.D.

Active Sole Proprietor

DR. JAGDISH GIDWANI, M.D. is a Psychiatry healthcare provider located in PORT JEFFERSON, New York. NPI 1962557629 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · PORT JEFFERSON, NY

Registration Details

NPI Number
1962557629
Provider Type
Individual
Gender
Male
NPI Issued
Jan 24, 2007 (19.568545006011 yrs)
Last Updated
Jan 18, 2011
Licenses
166492-1 (NY)
166492-1 (NY)
Sole Proprietor
Yes

Practice Information

Address
646 MAIN ST
PORT JEFFERSON, NY, 117772235
Browse NY providers · Browse ZIP 11777
Phone
6319286250
Fax
6319283010
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatric Neurology

Other Psychiatry Providers in PORT JEFFERSON, NY

Name Credential NPI
SASHI SHUKLA MD 1578555892
GEORGE C PETRO MD 1427040757
DR. JOAN RUBINSTEIN M.D. 1780650341
DR. MARTA MACZAJ M.D. 1780625681
S CHANDRA SHEKHER MD 1306929716
JON-KAR ZUBIETA MD,PHD 1902978844
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.