Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jagdish Gidwani, MD

Individual provider Psychiatry Physician · NPI 1962557629

Dr. Jagdish Gidwani, MD is a Psychiatry Physician in Port Jefferson, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

646 Main St
Port Jefferson, NY 11777-2235
Phone: (631) 928-6250
Fax: (631) 928-3010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 166492-1 (NY)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 166492-1 (NY)

Record details

NPI number1962557629
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 24, 2007
Last updated in NPPESJanuary 18, 2011

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