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Contact Information

KDV MEDICAL PC
193 N WELLWOOD AVE
LINDENHURST, NY11757-4005
 Phone: 516-220-8960
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for KDV MEDICAL PC

NPI # 1346830254
LBN Legal business name KDV MEDICAL PC
Authorized official KETAN VORA - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2021
Last updated 01/25/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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