Healthcare Provider Details

I. General information

NPI: 1497675441
Provider Name (Legal Business Name): JSL CARRIER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 VALLEY GREENS DR
VALLEY STREAM NY
11581-3635
US

IV. Provider business mailing address

2 VALLEY GREENS DR
VALLEY STREAM NY
11581-3635
US

V. Phone/Fax

Practice location:
  • Phone: 470-797-6566
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GAGANDEEP SINGH
Title or Position: PRESIDENT
Credential:
Phone: 470-797-6566