# KETAN D VORA DO PC

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

## Provider details

- **NPI number:** 1982981817
- **Authorized official:** DR. KETAN DHRUVKUMAR VORA DO (PHYSICIAN)
- **Authorized official phone:** (516) 220-8960

## Contact information

- **Practice address:** 2801 GLENWOOD RD, BROOKLYN, NY 11210-2401
- **Practice address phone:** (347) 770-9433
- **Practice address fax:** (347) 915-0600
- **Mailing address:** 2801 GLENWOOD RD, BROOKLYN, NY 11210-2401
- **Mailing address phone:** (347) 770-9433
- **Mailing address fax:** (347) 915-0600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 243182 | NY | Yes |

## Other

- **Enumeration date:** 11/06/2011
- **Last updated:** 05/18/2012
