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Individual

DR. PURSHOTAM LAL NAGWANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
758 HARRISON AVE, RIVERHEAD, NY 11901-2744
(631) 727-5112
(631) 727-9061
Mailing address
758 HARRISON AVE, RIVERHEAD, NY 11901-2744
(631) 727-5112
(631) 727-9061

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
143580
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01770103
NY
Enumeration date
07/08/2006
Last updated
08/08/2008
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