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Contact Information

BASAVARAJ V DESAI, MD
39 BRENTWOOD RD STE 101
BAY SHORE, NY11706
 Phone: 631-591-7400
 Fax: 631-591-7401
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for BASAVARAJ V DESAI · (Male)

NPI Number 1740255603
Status Active
Credentials MD
Entity Individual
Enumeration date 02/22/2006
Last updated 09/04/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 1826741
  • TX License # K5897
Hospital affiliation(s)
  • HUNTINGTON HOSPITAL - (Acute Care)
    270 PARK AVENUE
    HUNTINGTON, NY 11743
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • SOUTHSIDE HOSPITAL - (Acute Care)
    301 EAST MAIN STREET
    BAY SHORE, NY 11706
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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