Individual
SANJAY GODHWANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6144 ROUTE 25A STE 13, WADING RIVER, NY 11792-2008
(631) 886-2844
(631) 886-2842
Mailing address
6144 ROUTE 25A STE 13, WADING RIVER, NY 11792-2008
(631) 886-2844
(631) 886-2842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
266326
NY
207RR0500X
Rheumatology Physician
Primary
266326
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03497523
—
NY
Enumeration date
06/10/2008
Last updated
03/17/2018
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