Individual
TEJAL DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
450 SEAVIEW AVE FL 1, STATEN ISLAND, NY 10305-3401
(718) 226-2752
Mailing address
1 LYSBETH LN, MATAWAN, NJ 07747-7004
(718) 226-2752
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
325987
NY
Other
Enumeration date
03/25/2020
Last updated
02/26/2025
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