Individual
DR. KIRAN DAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15211 89TH AVE, JAMAICA, NY 11432-3730
(718) 558-2115
Mailing address
59 HILLDALE RD, ALBERTSON, NY 11507-2211
(516) 742-2764
(516) 742-6719
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
187119
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01511866
—
NY
Enumeration date
12/04/2006
Last updated
07/09/2007
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