Organization
MRUDANGI THAKUR PLASTIC & RECONSTRUCTIVE SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MRUDANGI SHASHIKANT THAKUR MD (SOLE OWNER)
(914) 962-8888
Entity
Organization
Contact information
Practice address
3650 HILL BLVD, JEFFERSON VALLEY, NY 10535-1500
(914) 962-8888
(914) 962-8881
Mailing address
3650 HILL BLVD, JEFFERSON VALLEY, NY 10535-1500
(914) 962-8888
(914) 962-8881
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
210957
NY
Other
Enumeration date
03/26/2007
Last updated
01/19/2020
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