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Organization

MONA VANI MD PC

Active
Parent organization
MONA VANI MD PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MONA VANI MD PC
Authorized official
MONA T VANI MD (OWNER ADMINISTRATOR)
(631) 475-0332
Entity
Organization

Contact information

Practice address
285 SILLS RD, BUILDING 9 SUITE A, EAST PATCHOGUE, NY 11772-4869
(631) 475-0344
(631) 475-2852
Mailing address
285 SILLS RD, BUILDING 9 SUITE A, EAST PATCHOGUE, NY 11772-4869
(631) 475-0344
(631) 475-2852

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
10/24/2006
Last updated
08/04/2015
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