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Organization
MEDFORD MEDICAL
Active
Organization
MEDFORD MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY VOHORA DO (CEO)
(516) 858-1828
Entity
Organization
Contact information
Practice address
699A GLEN COVE AVE, GLEN HEAD, NY 11545
(516) 858-1828
Mailing address
2608 ROUTE 112, MEDFORD, NY 11763-2551
(631) 475-4476
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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