Individual
KAVITHA VIJAYASEKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1068 SUSAN CT, MERRICK, NY 11566-1325
(860) 878-8955
Mailing address
1068 SUSAN CT, MERRICK, NY 11566-1325
(860) 878-8955
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
9156
NE
Other
Enumeration date
03/20/2018
Last updated
03/26/2024
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