Organization
GREENVALE MEDICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEERAJ KAUSHIK MD (OWNER)
(516) 590-3700
Entity
Organization
Contact information
Practice address
2200 NORTHERN BLVD STE 212, GREENVALE, NY 11548-1220
(516) 590-3700
Mailing address
PO BOX 270, MASSAPEQUA PARK, NY 11762-0270
(631) 264-2030
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
03/28/2019
Last updated
07/02/2021
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