Individual
DR. AVNI THAKORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 NORTHERN BLVD STE 116, GREENVALE, NY 11548-1220
(516) 563-7930
Mailing address
55 WATER ST, 12TH FLOOR, CREDENTIALING, NEW YORK, NY 10041-0004
(646) 680-2888
(516) 542-5556
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
248021
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03240580
—
NY
Enumeration date
04/01/2008
Last updated
06/15/2018
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