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1881074060
DIPA R AVICHAL
LAKE SUCCESS, NY
NPI
1881074060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: NY 303282)
Enumeration Date
2015-06-03
Last Update Date
2020-07-20
Business Address
Dr. DIPA R AVICHAL D.O.
1999 MARCUS AVENUE SUITE 216
LAKE SUCCESS, NY 11042
Phone number: 516-775-4545
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Mailing Address
Dr. DIPA R AVICHAL D.O.
101 NICOLLS RD
STONY BROOK, NY 11794-0001
Phone number: 631-444-0480
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