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Organization

DEEPAK VASISHTHA PHYSICIAN, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEEPAK VASISHTHA M.D. (DIRECTOR)
(845) 623-8000
Entity
Organization

Contact information

Practice address
257 S MIDDLETOWN RD, NANUET, NY 10954-3360
(845) 623-8000
(845) 623-0770
Mailing address
257 S MIDDLETOWN RD, NANUET, NY 10954-3360
(845) 623-8000
(845) 623-0770

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
231223
NY

Other

Enumeration date
11/12/2013
Last updated
11/12/2013
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