Individual
DR. BHADRESH D DESAI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
393 MOTHER GASTON BLVD, BROOKLYN, NY 11212-7736
(718) 385-6900
Mailing address
393 MOTHER GASTON BLVD, BROOKLYN, NY 11212-7736
(718) 385-6900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
034008
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00332783
—
NY
Enumeration date
03/14/2006
Last updated
07/09/2007
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