Individual
LANA DHAMIJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4 TECHNOLOGY DR STE 180, SETAUKET, NY 11733-4068
(973) 617-0664
Mailing address
6 MILL RIVER RD, SETAUKET, NY 11733-2204
(973) 617-0664
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00370500
NJ
363AM0700X
Medical Physician Assistant
Primary
027215-01
NY
Other
Enumeration date
08/03/2015
Last updated
10/05/2022
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