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Organization

RAVI SUTARIA MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAVI BHUPATLAL SUTARIA MD (PRESIDENT)
(347) 960-7501
Entity
Organization

Contact information

Practice address
11203 QUEENS BLVD STE 209, FOREST HILLS, NY 11375-5550
(347) 960-7501
(347) 960-7402
Mailing address
20 CARRIAGE CT, SYOSSET, NY 11791-3045
(347) 960-7501
(347) 960-7402

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
208100000X
Physical Medicine & Rehabilitation Physician

Other

Enumeration date
03/10/2023
Last updated
07/28/2023
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