Organization
RAKESH K DUA PHYSICIAN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA MARTES (OFFICE MANAGER)
(718) 968-2534
Entity
Organization
Contact information
Practice address
2035 RALPH AVE, SUITE B8, BROOKLYN, NY 11234-5300
(718) 968-2534
(718) 968-0573
Mailing address
6 MEADOWBROOK LN, OLD WESTBURY, NY 11568-1112
(718) 968-2534
(718) 968-0573
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
208733
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01623014
—
NY
Enumeration date
04/17/2008
Last updated
04/17/2008
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