| Ravindra Bhachawat Medicine Pc | |
|
7 Woodbury Farms Dr Woodbury NY 11797-1242 | |
| (631) 465-9333 | |
| (631) 465-9336 |
| Full Name | Ravindra Bhachawat Medicine Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7 Woodbury Farms Dr, Woodbury, New York |
| Authorized Official Name and Position | Ravindra Bhachawat (OWNER) |
| Authorized Official Contact | 6314659333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravindra Bhachawat Medicine Pc Po Box 852 Wheatley Heights NY 11798-0852 Ph: (631) 465-9333 | Ravindra Bhachawat Medicine Pc 7 Woodbury Farms Dr Woodbury NY 11797-1242 Ph: (631) 465-9333 |
| NPI Number | 1689813636 |
|---|---|
| Provider Enumeration Date | 02/16/2009 |
| Last Update Date | 04/21/2017 |
| Medicare PECOS PAC ID | 2062561152 |
|---|---|
| Medicare Enrollment ID | O20090520000250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689813636 | NPI | - | NPPES |
| 1427244276 | Other | NY | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 246300 (New York) | Primary |
| Provider Name | Ravindra Bhachawat |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1427244276 PECOS PAC ID: 0143380014 Enrollment ID: I20081121000455 |
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