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NPI Code Detail

MEDICARE: DR. RICKY R VOHORA DO

MEDICARE:  DR. RICKY R VOHORA  DO
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
1207Q00000XFamily Medicine Physician263110NY

General Provider Information

NPI Number : 1669756599
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RICKY R VOHORA DO
Provider Business Mailing Address
First Line : 558 LARKFIELD RD
Second Line :
City : EAST NORTHPORT
State : NY
Zip : 11731-4204
Country : US
Telephone Number : 631-486-7459
Fax Number : 631-486-7463
Provider Business Practice Location Address
First Line : 558 LARKFIELD RD
Second Line :
City : EAST NORTHPORT
State : NY
Zip : 11731-4204
Country : US
Telephone Number : 631-486-7459
Fax Number : 631-486-7463
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2011
Last Update Date : 08/30/2013

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Directions to “ DR. RICKY R VOHORA DO” Practice Location

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