Organization
NEONATES AND PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAJRANG L AGARWAL MD (PRESIDENT)
(914) 528-7337
Entity
Organization
Contact information
Practice address
101 WATERSIDE PROFESSIONAL PARK, PUTNAM VALLEY, NY 10579-3502
(914) 528-7337
(914) 528-1831
Mailing address
101 WATERSIDE PROFESSIONAL PARK, PUTNAM VALLEY, NY 10579-3502
(914) 528-7337
(914) 528-1831
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
173130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01235423
—
NY
Enumeration date
03/08/2007
Last updated
08/22/2020
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