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1457347601
RAJIV DATTA
VALLEY STREAM, NY
NPI
1457347601
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086X0206X Surgery, Surgical Oncology
(Licence: NY 201327)
Enumeration Date
2005-09-23
Last Update Date
2013-05-13
Business Address
Dr. RAJIV DATTA M.D.
1 S CENTRAL AVE
VALLEY STREAM, NY 11580-5443
Phone number: 516-632-3300
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Mailing Address
Dr. RAJIV DATTA M.D.
1 HEALTHY WAY ATTN: PHYSICIAN BILLING
OCEANSIDE, NY 11572-1551
Phone number: 516-255-1616
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