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Individual

DR. ASHVIN BUTALA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
170 BUFFALO AVE, BROOKLYN, NY 11213-2421
(718) 221-3260
Mailing address
23 SHEPHERD LN, ROSLYN HEIGHTS, NY 11577-2506
(516) 626-3732

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
183040
NY

Other

Enumeration date
05/31/2005
Last updated
05/04/2017
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