Organization
RAVINDRA BHACHAWAT MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDRA BHACHAWAT MD (OWNER)
(631) 465-9333
Entity
Organization
Contact information
Practice address
7 WOODBURY FARMS DR, WOODBURY, NY 11797-1242
(631) 465-9333
(631) 465-9336
Mailing address
PO BOX 852, WHEATLEY HEIGHTS, NY 11798-0852
(631) 465-9333
(631) 465-9336
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
246300
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427244276
NPI INDIVIDUAL
NY
Enumeration date
02/16/2009
Last updated
04/21/2017
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