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Organization
DEEPAK VASISHTHA PHYSICIAN PC
Active
Organization
DEEPAK VASISHTHA PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK VASISHTHA MD (OWNER/PRESIDENT)
(718) 310-3350
Entity
Organization
Contact information
Practice address
209 BEACH 125TH ST, BELLE HARBOR, NY 11694-1703
(718) 310-3350
(718) 228-9317
Mailing address
544 PARK AVE, 600, BROOKLYN, NY 11205-1600
(718) 310-3350
(718) 228-9317
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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