Individual
PRADYUMAN B DAVE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8201 37TH AVE, JACKSON HEIGHTS, NY 11372-7011
(718) 424-0303
Mailing address
8201 37TH AVE, JACKSON HEIGHTS, NY 11372-7011
(718) 424-0303
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
142035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00977440
—
NY
Enumeration date
03/07/2006
Last updated
07/08/2007
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