Individual
RAJ TOLAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
54 W MERRICK RD, VALLEY STREAM, NY 11580-5719
(516) 593-3030
(516) 593-5105
Mailing address
54 W MERRICK RD, VALLEY STREAM, NY 11580-5719
(516) 593-3030
(516) 593-5105
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
207587
NY
Other
Enumeration date
12/11/2006
Last updated
05/01/2009
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