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Organization
PATHAK INTERNAL MEDICINE PC
Active
Organization
PATHAK INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISHA PATHAK M.D. (DIRECT OWNER)
(516) 857-6743
Entity
Organization
Contact information
Practice address
3400 BRUSH HOLLOW RD, WESTBURY, NY 11590-1712
(516) 857-6743
Mailing address
181 DOGWOOD RD, ROSLYN, NY 11576-3005
(516) 801-2530
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
231995
NY
Other
Enumeration date
09/19/2007
Last updated
04/19/2012
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