Individual
DR. BHAVESH GALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1366 VICTORY BLVD, STE B, STATEN ISLAND, NY 10301-3907
(718) 442-8351
(718) 442-4073
Mailing address
1366 VICTORY BLVD, STE B, STATEN ISLAND, NY 10301-3907
(718) 442-8351
(718) 442-4073
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
252778
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02900205
—
NY
01
—
303SQ1
MEDICARE
—
Enumeration date
01/25/2007
Last updated
08/14/2012
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