Organization
ON-SITE MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJEEV D SRIVASTAVA MD (OWNER)
(718) 907-1091
Entity
Organization
Contact information
Practice address
29-28 DITMARS BOULEVARD, ASTORIA, NY 11105-2731
(718) 907-1091
Mailing address
162-15 HIGHLAND AVENUE, SUITE 1A, JAMAICA, NY 11432
(718) 907-1091
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03538290
—
NY
Enumeration date
09/14/2012
Last updated
05/10/2013
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