Individual
BISHEN DANESHWAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9110 181ST ST, HOLLIS, NY 11423-2312
(718) 671-2100
Mailing address
9110 181ST ST, HOLLIS, NY 11423-2312
(718) 671-2100
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
305075
NY
Other
Enumeration date
07/29/2011
Last updated
07/29/2011
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