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

Dr. Jisha Edichandy, DO

Individual provider Pediatrics Physician · NPI 1508161738

Dr. Jisha Edichandy, DO is a Pediatrics Physician in Floral Park, New York. Licensed in Connecticut. Registered with an NPI since 2011.

Licensed in
CT
In the registry since
2011
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

7632 264th St
Floral Park, NY 11004-1145
Phone: (917) 647-7822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 48653 (CT)

Record details

NPI number1508161738
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 19, 2011
Last updated in NPPESJanuary 19, 2011
Mailing address7632 264th St, Floral Park, NY 11004-1145

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