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Contact Information

DIPA R AVICHAL, DO
1999 MARCUS AVENUE
SUITE 216
LAKE SUCCESS, NY11042
 Phone: 516-775-4545
 Fax: 516-775-4646
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DIPA R AVICHAL · (Female)

NPI # 1881074060
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/03/2015
Last updated 07/20/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 303282
Hospital affiliation(s)
  • GOOD SAMARITAN HOSPITAL MEDICAL CENTER - (Acute Care)
    1000 MONTAUK HIGHWAY
    WEST ISLIP, NY 11795
  • NORTH SHORE UNIVERSITY HOSPITAL - (Acute Care)
    300 COMMUNITY DRIVE
    MANHASSET, NY 11030
  • ST FRANCIS HOSPITAL ROSLYN - (Acute Care)
    100 PORT WASHINGTON BOULEVARD
    ROSLYN, NY 11576
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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