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Organization

CHIRAG V VASA, MD P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHIRAG V VASA MD (SOLE PROPRIETER)
(718) 721-3400
Entity
Organization

Contact information

Practice address
2575 34TH ST, ASTORIA, NY 11103-4901
(718) 721-3400
(718) 721-3434
Mailing address
701 EVANS PARAMUS, PARAMUS, NY 07652
(718) 441-3970
(718) 441-6291

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
218197
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02256059
NY
Enumeration date
01/19/2006
Last updated
07/16/2018
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