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General NPI Number Information
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NPI Number | 1265637284
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Entity Type | Organization
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Legal Business Name | PRIME HEALTH MEDICAL PC
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 623 STEWART AVE STE 201
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City | GARDEN CITY
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State | NY
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Zip | 11530-4771
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Country | US
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Telephone | 516-746-0422
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Fax | 516-279-4465
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Provider Business Mailing Address
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Address Line | 31 GERALIND DR
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City | SYOSSET
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State | NY
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Zip | 11791-2415
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Country | US
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Telephone | 516-746-0422
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Fax | 516-279-4465
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Authorized Official
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Title or Position | OWNER PRESIDENT
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Name | MR. RAJESH ROHATGI
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Credential | MD
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Telephone | 516-746-0422
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207UN0901X
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Taxonomy Name | Nuclear Cardiology Physician
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License Number |
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License Number State |
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