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Organization
LIGHTE
Active
Organization
LIGHTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REENA KAUSHIK (MANAGER)
(516) 216-5930
Entity
Organization
Contact information
Practice address
2001 MARCUS AVE, E130, NEW HYDE PARK, NY 11042-2061
(516) 216-5930
(516) 437-6904
Mailing address
2001 MARCUS AVE, E130, NEW HYDE PARK, NY 11042-2061
(516) 216-5930
(516) 437-6904
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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