Individual
MS. RUCHI Y DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
410 LAKEVILLE RD STE 209, NEW HYDE PARK, NY 11042-1122
(516) 625-4042
Mailing address
410 LAKEVILLE RD STE 209, NEW HYDE PARK, NY 11042-1122
(516) 625-4042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
021015-1
NY
Other
Enumeration date
07/20/2017
Last updated
07/21/2022
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