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Organization

SATBACHAN DHANJAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SATBACHAN S DHANJAL MD (OWNER)
(718) 464-9727
Entity
Organization

Contact information

Practice address
20707 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1732
(718) 464-9727
(718) 464-9735
Mailing address
20707 HILLSIDE AVE, QUEENS VILLAGE, NY 11427-1732
(718) 464-9727
(718) 464-9735

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
135215
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1760433031
NPI
Enumeration date
06/14/2013
Last updated
06/14/2013
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