Individual
DR. BOBBY VIJAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
115 E 61ST ST, SUITE 5 E, NEW YORK, NY 10021-8183
(212) 888-4140
(212) 486-7556
Mailing address
6254 97TH PL, APT 6 I, REGO PARK, NY 11374-1346
(646) 831-5445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
052930
NY
Other
Enumeration date
02/14/2007
Last updated
07/08/2007
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