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PRIYA DIPAK KHOLWADWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
210-31 26TH AVE, BAYSIDE, NY 11360-1949
(718) 747-5437
Mailing address
3 BALSAM DR, HICKSVILLE, NY 11801-2004
(516) 244-3349

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28576301
NY

Other

Enumeration date
03/27/2015
Last updated
10/12/2022
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