Organization
SANJAY KIRTANE PHYSICIAN PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY SHREEDHAR KIRTANE M.D. (PRESIDENT)
(718) 318-1029
Entity
Organization
Contact information
Practice address
11412 BEACH CHANNEL DR, SUITE 7, ROCKAWAY PARK, NY 11694-2212
(718) 318-1029
(718) 318-4802
Mailing address
11412 BEACH CHANNEL DR, SUITE 7, ROCKAWAY PARK, NY 11694-2212
(718) 318-1029
(718) 318-4802
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
137045
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00704889
—
NY
Enumeration date
08/02/2010
Last updated
08/04/2011
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