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Individual

DR. ASHOK K RAJPUT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8404 PENELOPE AVE, MIDDLE VILLAGE, NY 11379-2433
(718) 894-6963
(718) 523-2728
Mailing address
21 PHAETONS DR, MELVILLE, NY 11747-2028
(631) 421-4264
(631) 421-7063

Taxonomy

Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
163232
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00929020
NY
Enumeration date
09/07/2006
Last updated
07/08/2007
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