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NPI Code Detail

MEDICARE: KAVYA PINTO-CHENGOT MD

MEDICARE: KAVYA PINTO-CHENGOT MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207RH0003XHematology & Oncology Physician278685NY

General Provider Information

NPI Number : 1770895468
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAVYA PINTO-CHENGOT MD
Provider Business Mailing Address
First Line : 440 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8501
Country : US
Telephone Number : 631-414-6800
Fax Number :
Provider Business Practice Location Address
First Line : 440 E MAIN ST
Second Line :
City : BAY SHORE
State : NY
Zip : 11706-8501
Country : US
Telephone Number : 631-414-6800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2010
Last Update Date : 02/11/2021

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