Individual
MS. DIPTI LAXMIKANT BHOIWALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
598 COLUMBIA TPKE, EAST GREENBUSH, NY 12061-1622
(518) 479-5240
Mailing address
PO BOX 14890, ALBANY, NY 12212-4890
(518) 525-5634
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
263935
NY
207RR0500X
Rheumatology Physician
263935
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03624646
—
NY
Enumeration date
05/04/2009
Last updated
05/07/2021
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