Organization
NEXT LEVEL DIAGNOSTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK VASISHTHA M.D. (PRESIDENT)
(917) 968-0730
Entity
Organization
Contact information
Practice address
257 S MIDDLETOWN RD, NANUET, NY 10954-3360
(845) 623-8000
(845) 623-0770
Mailing address
358 5TH AVE, SUITE 307, NEW YORK, NY 10001-2209
(212) 730-8172
(212) 730-8173
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2312232
NY
Other
Enumeration date
12/06/2012
Last updated
12/06/2012
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