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Individual

DR. MRUDANGI THAKUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D

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

Other identifiers
Code
Description
Identifier
Issuer
State
05
02267889
NY
Enumeration date
08/31/2006
Last updated
01/19/2020
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