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Contact Information

MRUDANGI THAKUR PLASTIC & RECONSTRUCTIVE SURGERY PC
3650 HILL BLVD
JEFFERSON VALLEY, NY10535-1500
 Phone: 914-962-8888
 Fax: 914-962-8881
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for MRUDANGI THAKUR PLASTIC RECONSTRUCTIVE SURGERY PC · (Female)

NPI # 1588782916
Status Active
Credentials
Entity Individual
Enumeration date 03/26/2007
Last updated 01/19/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 210957
Hospital affiliation(s) Not Available
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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