Individual
DEEPA SANGWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
116 TERRYVILLE RD, PORT JEFFERSON STATION, NY 11776-1329
(631) 928-2002
Mailing address
4 RIUNITE RD, EAST SETAUKET, NY 11733-2662
(631) 487-6407
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
246788
NY
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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