Individual
DR. JAYDEEP M BHATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
710 W 168TH ST, NEW YORK, NY 10032-3726
(212) 305-3022
Mailing address
710 W 168TH ST, NEW YORK, NY 10032-3726
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
238655-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02782007
—
NY
Enumeration date
06/09/2006
Last updated
02/25/2021
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