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NPI Code Detail

MEDICARE: HOSNEARA DEWAN

MEDICARE: HOSNEARA DEWAN
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
1174400000XSpecialist2369568NY

General Provider Information

NPI Number : 1548719008
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOSNEARA DEWAN
Provider Business Mailing Address
First Line : 3038 87TH ST
Second Line :
City : EAST ELMHURST
State : NY
Zip : 11369-1427
Country : US
Telephone Number : 917-680-4133
Fax Number :
Provider Business Practice Location Address
First Line : 3038 87TH ST
Second Line :
City : EAST ELMHURST
State : NY
Zip : 11369-1427
Country : US
Telephone Number : 917-680-4133
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2016
Last Update Date : 09/26/2016

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Directions to “ HOSNEARA DEWAN ” Practice Location

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