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Organization

ACTIVE HEALTHCARE MEDICAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AJAY KUMAR AGARWALA MD (MEMBER)
(732) 236-8212
Entity
Organization

Contact information

Practice address
100 DUFFY AVE STE 510, HICKSVILLE, NY 11801-3636
(732) 236-8212
Mailing address
100 DUFFY AVE STE 510, HICKSVILLE, NY 11801-3636
(732) 236-8212

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2084N0400X
Neurology Physician

Other

Enumeration date
05/12/2025
Last updated
05/12/2025
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