MEDICARE: JASMINE SUNDRI

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669950309
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASMINE SUNDRI

Provider Business Mailing Address
First Line	:	2744 BIRCH AVE
Second Line	:
City	:	EAST MEADOW
State	:	NY
Zip	:	11554-4325
Country	:	US
Telephone Number	:	609-534-0735
Fax Number	:

Provider Business Practice Location Address
First Line	:	2744 BIRCH AVE
Second Line	:
City	:	EAST MEADOW
State	:	NY
Zip	:	11554-4325
Country	:	US
Telephone Number	:	609-534-0735
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2018
Last Update Date	:	10/07/2024

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Directions to “ JASMINE SUNDRI ” Practice Location

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