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Organization

NORTHEAST SURGICAL GROUP, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEENA RAJDEO MD (MD/OWNER)
(914) 493-7378
Entity
Organization

Contact information

Practice address
19 BRADHURST AVE, STE. 0100, HAWTHORNE, NY 10532-2140
(914) 493-7378
(914) 594-4949
Mailing address
551 MUNGER PAVILION, VALHALLA, NY 10595
(914) 493-7378
(914) 594-4949

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
08/10/2005
Last updated
01/28/2008
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