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NPI Code Detail

MEDICARE: DR. BHARATI A PANDYA DDS

MEDICARE: DR. BHARATI A PANDYA DDS
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
11223G0001XGeneral Practice Dentistry030614NY

General Provider Information

NPI Number : 1881776938
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BHARATI A PANDYA DDS
Provider Business Mailing Address
First Line : 850 RATHBUN AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10309-2326
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 681 CLARKSON AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11203-2125
Country : US
Telephone Number : 718-221-7468
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/08/2007

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