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NPI Code Detail

MEDICARE: DR. AMBIKA NATH D.O.

MEDICARE: DR. AMBIKA NATH D.O.
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
1208M00000XHospitalist Physician298715NY
2207QA0505XAdult Medicine Physician298715NY

General Provider Information

NPI Number : 1215381744
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMBIKA NATH D.O.
Provider Business Mailing Address
First Line : 101 SAINT ANDREWS LN
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2263
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 101 SAINT ANDREWS LN
Second Line :
City : GLEN COVE
State : NY
Zip : 11542-2263
Country : US
Telephone Number : 516-674-7300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2016
Last Update Date : 11/11/2025

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