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Organization

NORTHEAST RHEUMATOLOGY INITIATIVE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRASHANT KAUSHIK MD (OWNER)
(701) 202-7217
Entity
Organization

Contact information

Practice address
2500 POND VW STE 202, CASTLETON, NY 12033-9776
(701) 202-7217
Mailing address
9 SHELBOURNE DR, LOUDONVILLE, NY 12211-2608
(701) 202-7217

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
NY
Enumeration date
06/12/2018
Last updated
04/08/2026
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