Individual
JAYA BAJAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7412 263RD ST, APT 2, GLEN OAKS, NY 11004-1113
(516) 474-5009
Mailing address
7412 263RD ST, APT 2, GLEN OAKS, NY 11004-1113
(516) 474-5009
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
259496
NY
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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