Individual
VIJAY PAMPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 343-8741
Mailing address
111 MALTESE DR, MIDDLETOWN, NY 10940-2115
(845) 342-4774
(845) 343-8741
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
277865
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
277865
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
277865
NYS LICENSE
NY
Enumeration date
02/26/2015
Last updated
02/26/2015
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