Individual
DR. RASILA A. THAKKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2702 ALEXANDER ST, ENDWELL, NY 13760-2332
(607) 785-5572
Mailing address
2702 ALEXANDER ST, ENDWELL, NY 13760-2332
(607) 785-5572
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
169916
NY
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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