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1093050007
ANISH DESAI
PORT JEFFERSON STATION, NY
NPI
1093050007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: NY 280824)
Enumeration Date
2012-12-02
Last Update Date
2022-04-29
Business Address
ANISH DESAI MD
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776-8054
Phone number: 631-978-7633
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Mailing Address
ANISH DESAI MD
1500 ROUTE 112 STE B
PORT JEFFERSON STATION, NY 11776-8054
Phone number: 631-978-7633
Copy
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