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Individual

DATTATRETYDU NORI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
525 E 68TH ST, N046, NEW YORK, NY 10021-4870
(212) 746-3141
(212) 746-8749
Mailing address
575 LEXINGTON AVE, SUITE 500, NEW YORK, NY 10022-6102
(212) 590-5152
(212) 590-5798

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
138850
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01126998
NY
Enumeration date
08/18/2006
Last updated
07/09/2007
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