# KV MEDICAL OF NY PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427691286
- **Authorized official:** KETAN D. VORA (OWNER)
- **Authorized official phone:** (347) 878-2225

## Contact information

- **Practice address:** 1065 OLD COUNTRY RD, WESTBURY, NY 11590-5640
- **Practice address phone:** (347) 878-2225
- **Mailing address:** 21315 33RD RD, BAYSIDE, NY 11361-1508

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2019
- **Last updated:** 10/24/2019