Individual
ABHINAY ROHIT GAJJALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 689-8333
Mailing address
170 RALEIGH ST, ROCHESTER, NY 14620-4148
(510) 333-1125
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
318148
NY
Other
Enumeration date
04/14/2019
Last updated
08/07/2024
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