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1720003361
VIJAYA L DASARI
MIDDLETOWN, NY
NPI
1720003361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NY 210954)
Enumeration Date
2006-07-13
Last Update Date
2007-07-08
Business Address
-- VIJAYA L DASARI MD, DGO
90 CRYSTAL RUN RD SUITE 403
MIDDLETOWN, NY 10941-7101
Phone number: 845-703-8806
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Mailing Address
-- VIJAYA L DASARI MD, DGO
PO BOX 29
GOSHEN, NY 10924-0029
Phone number: 845-615-1141
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