Individual
MR. VISHAL K BAKSHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
270 PARK AVE, HUNTINGTON, NY 11743-2787
(631) 351-2000
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322
(404) 778-3900
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
007552
NY
Other
Enumeration date
03/22/2006
Last updated
08/21/2015
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