# KDV MEDICAL PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vora Medical Health
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346830254
- **Authorized official:** DR. KETAN DHRUVKUMAR VORA MD (CEO)
- **Authorized official phone:** (516) 220-8960

## Contact information

- **Practice address:** 193 N WELLWOOD AVE, LINDENHURST, NY 11757-4005
- **Practice address phone:** (516) 220-8960
- **Mailing address:** PO BOX 11590, NEW BRUNSWICK, NJ 08906-1590

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081N0008X | Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2021
- **Last updated:** 01/25/2021