Datta, Rajiv
Datta, Rajiv is an sole proprietor health care provider with primary practice located at 1 S Central Ave , Valley Stream NY 11580-5443. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Oncology, which is considered as his primary health care specialty. Datta, Rajiv can be contacted via phone (516) 632-3300.Contact Information
Primary practice address
1 S Central Ave
Valley Stream NY 11580-5443
Phone: (516) 632-3300
Fax: (516) 632-3355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 201327 | New York |
Profile Details
| NPI number | 1457347601 |
|---|---|
| LBN Legal business name | Datta, Rajiv |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2005 |
| Last updated | May 13th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457347601 | NPPES |
| New York | MEDICAID | 01621461 |
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