Individual
DR. DIVYA PANDYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
264 02 HILLSIDE AVENUE, FLORAL PARK, NY 11004
(718) 343-7878
(718) 343-1561
Mailing address
264 02 HILLSIDE AVENUE, FLORAL PARK, NY 11004
(718) 343-7878
(718) 343-1561
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
152379
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00759348
—
NY
Enumeration date
08/03/2006
Last updated
10/07/2010
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