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Individual

DR. KETAN DHRUVKUMAR VORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
24 BRADLEY AVE, STATEN ISLAND, NY 10314-4403
(347) 878-2225
(516) 717-3556
Mailing address
24 BRADLEY AVE, STATEN ISLAND, NY 10314-4403
(347) 878-2225
(516) 717-3556

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
243182
NY
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
243182
NY

Other

Enumeration date
11/19/2008
Last updated
10/22/2011
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