Individual
DR. VIPIN AGARWALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8900 VAN WYCK EXPY, JAMAICA, NY 11418-2897
(718) 206-6000
Mailing address
80 MARCUS DR, MELVILLE, NY 11747-4230
(631) 391-7700
(631) 454-4161
Taxonomy
Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
224110
NY
208000000X
Pediatrics Physician
224110
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02278224
—
NY
Enumeration date
09/24/2006
Last updated
01/15/2026
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