Individual
KAVYA PINTO-CHENGOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
440 E MAIN ST, BAY SHORE, NY 11706-8501
(631) 414-6800
Mailing address
440 E MAIN ST, BAY SHORE, NY 11706-8501
(631) 414-6800
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
278685
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/09/2010
Last updated
02/11/2021
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