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Individual

DR. AVNI M DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
650 COMMACK RD, COMMACK, NY 11725-5404
(631) 623-4000
Mailing address
650 COMMACK RD, COMMACK, NY 11725-5404

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101242314
VA

Other

Enumeration date
09/04/2007
Last updated
04/06/2015
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