Individual
DR. DIPA R AVICHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1999 MARCUS AVENUE, SUITE 216, LAKE SUCCESS, NY 11042
(516) 775-4545
(516) 775-4646
Mailing address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 444-0480
(631) 444-5245
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
303282
NY
Other
Enumeration date
06/03/2015
Last updated
07/20/2020
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