Individual
DR. ABHINAV AGRAWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 LAKEVILLE RD STE 107, NEW HYDE PARK, NY 11042-1102
(516) 465-5432
Mailing address
410 LAKEVILLE RD STE 107, NEW HYDE PARK, NY 11042-1102
(516) 465-5432
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036148738
IL
207RP1001X
Pulmonary Disease Physician
036148738
IL
207RP1001X
Pulmonary Disease Physician
Primary
284844
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/27/2013
Last updated
07/27/2020
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