Edward Jikhars, RN
Registered Nurse, General Practice in Hauppauge, NY. Individual provider (NPI-1).
NPI number1528638756
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1528638756
- Entity type
- Individual (NPI-1)
- Name
- Edward Jikhars
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2021
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 474007 | NY | Yes |
Practice location
200 Wireless BlvdHauppauge, NY 11788-3974
Phone 631-853-6410
Mailing address
745 10th StIslip Terrace, NY 11752-1706
Phone 207-832-1936
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