Individual
DR. DIPTI BHAVESH KOTHARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
262 COMMUNITY DR, SMITHTOWN, NY 11787-3875
(952) 412-4161
Mailing address
262 COMMUNITY DR, SMITHTOWN, NY 11787-3875
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
255736
NY
Other
Enumeration date
06/04/2008
Last updated
02/20/2013
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