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1316394224
VIVEK RAJASEKHAR
RIVERHEAD, NY
NPI
1316394224
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-05-20
Last Update Date
2016-05-20
Business Address
VIVEK RAJASEKHAR D.O.
1300 ROANOKE AVENUE
RIVERHEAD, NY 11901
Phone number: 631-548-6446
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Mailing Address
VIVEK RAJASEKHAR D.O.
1300 ROANOKE AVENUE
RIVERHEAD, NY 11901
Phone number:
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