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NPI Code Detail

MEDICARE: MR. NARINDER JIT PA-C

MEDICARE:  MR. NARINDER  JIT  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant026537NY

General Provider Information

NPI Number : 1417538703
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NARINDER JIT PA-C
Provider Business Mailing Address
First Line : 122 WARRIOR LN
Second Line :
City : CLINTON
State : MS
Zip : 39056-3153
Country : US
Telephone Number : 601-398-8150
Fax Number :
Provider Business Practice Location Address
First Line : 100 LIVINGSTON ST STE 2
Second Line :
City : BROOKLYN
State : NY
Zip : 11201-5023
Country : US
Telephone Number : 877-266-7362
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2021
Last Update Date : 04/19/2021

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Directions to “ MR. NARINDER JIT PA-C” Practice Location

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