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Individual

DR. DEVENDRA BRAHMBHATT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
210 E SUNRISE HWY STE 303, VALLEY STREAM, NY 11581-1328
(516) 568-9119
(516) 568-9485
Mailing address
210 EAST SUNRISE HWY, VALLEY STREAM, NY 11581
(516) 568-9119
(516) 568-9485

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
181023
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01269350
NY
Enumeration date
05/27/2006
Last updated
01/28/2010
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