Search › New York › 104100000X
Chad Jaggon
NPI 1992337489 · on the registry since 2020 · sole proprietor
Practice
- Address
- 852 W Gate
Valley Stream, NY 11580 - Phone
- (917) 804-5126
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-02-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York