Individual
DR. LAXMIDHAR DIWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6254 97TH PL, SUITE 2H, REGO PARK, NY 11374-1346
(718) 271-7700
(718) 271-4490
Mailing address
6254 97TH PL, SUITE 2H, REGO PARK, NY 11374-1346
(718) 271-7700
(718) 271-4490
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
153779
NY
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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