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MAGANLAL G MISTRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3245 NOSTRAND AVE, BROOKLYN, NY 11229-3716
(718) 615-3777
(718) 615-3404
Mailing address
441 9TH AVE, CREDENTIALING 3RD FL, NEW YORK, NY 10001-1623
(646) 680-2894
(516) 542-5556

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
1405871
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00675136
NY
Enumeration date
06/01/2006
Last updated
12/08/2015
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