Individual
DR. DILIP V SUBHEDAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
257 LAFAYETTE AVE STE 285, SUFFERN, NY 10901-4837
(845) 353-5600
(804) 261-4904
Mailing address
20 GRAND ST FL 3, WARWICK, NY 10990-1035
(845) 353-5600
(804) 261-4904
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
183858-1
NY
207L00000X
Anesthesiology Physician
25MA05330700
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
183858-1
NY
208VP0014X
Interventional Pain Medicine Physician
25MA05330700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016063
—
NJ
05
—
0017911420001
—
PA
05
—
02839641
—
NY
Enumeration date
07/30/2006
Last updated
07/29/2020
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