MEDICARE: HAVOVI DESAI MT-BC

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
1	225A00000X	Music Therapist	17507	NY

General Provider Information

NPI Number	:	1740136423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAVOVI DESAI MT-BC

Provider Business Mailing Address
First Line	:	822 FLATBUSH AVE APT 3F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-8567
Country	:	US
Telephone Number	:	513-560-7777
Fax Number	:

Provider Business Practice Location Address
First Line	:	822 FLATBUSH AVE APT 3F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11226-8567
Country	:	US
Telephone Number	:	513-560-7777
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ HAVOVI DESAI MT-BC” Practice Location

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