Individual
DAIVESH DOSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4295 HEMPSTEAD TPKE, BETHPAGE, NY 11714-5713
(516) 579-6000
Mailing address
203 BRANCH AVE, FREEPORT, NY 11520-6007
(516) 377-6435
(208) 728-7402
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
206799
NY
207Q00000X
Family Medicine Physician
206799
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01870364
—
NY
Enumeration date
01/02/2007
Last updated
06/05/2008
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