Individual
DR. BIRENDRA KUMAR TRIVEDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
924 N BROADWAY STE 2, MASSAPEQUA, NY 11758-2303
(516) 520-5507
(516) 520-5493
Mailing address
4230 HEMPSTEAD TPKE., SUITE106, BETHPAGE, NY 11714-3566
(516) 520-5507
(516) 520-5493
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
209199
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01946501
—
NY
Enumeration date
05/24/2006
Last updated
10/23/2023
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