Provider Demographics
NPI:1114633310
Name:SEKHON, JAISSY SINGH (DC)
Entity Type:Individual
Prefix:DR
First Name:JAISSY
Middle Name:SINGH
Last Name:SEKHON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 DERBY RD
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-5719
Mailing Address - Country:US
Mailing Address - Phone:607-793-1119
Mailing Address - Fax:
Practice Address - Street 1:45 W 34TH ST RM 1201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-3124
Practice Address - Country:US
Practice Address - Phone:646-454-8264
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2023-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX013691-01111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor