Healthcare Provider Details

I. General information

NPI: 1114633310
Provider Name (Legal Business Name): JAISSY SINGH SEKHON DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 01/31/2023
Certification Date: 01/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 W 34TH ST RM 1201
NEW YORK NY
10001-3124
US

IV. Provider business mailing address

5 DERBY RD
HICKSVILLE NY
11801-5719
US

V. Phone/Fax

Practice location:
  • Phone: 646-454-8264
  • Fax:
Mailing address:
  • Phone: 607-793-1119
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberX013691-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: