Provider Demographics
NPI:1588920938
Name:JAGGI, SHUCHIE (DO)
Entity type:Individual
Prefix:DR
First Name:SHUCHIE
Middle Name:
Last Name:JAGGI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:865 NORTHERN BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021
Mailing Address - Country:US
Mailing Address - Phone:516-708-2540
Mailing Address - Fax:516-708-2690
Practice Address - Street 1:865 NORTHERN BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021
Practice Address - Country:US
Practice Address - Phone:516-708-2540
Practice Address - Fax:516-708-2690
Is Sole Proprietor?:No
Enumeration Date:2012-04-10
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY290188207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine