Kothare, Sanjeev V
Kothare, Sanjeev V is an individual health care provider with primary practice located at 2001 Marcus Ave Ste W290 , New Hyde Park NY 11042-1098. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Kothare, Sanjeev V can be contacted via phone (516) 465-5255.Contact Information
Primary practice address
2001 Marcus Ave Ste W290
New Hyde Park NY 11042-1098
Phone: (516) 465-5255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Neurophysiology | 2084N0600X | 268754 | New York |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 2084S0012X | 268754 | New York |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | 268754 | New York |
Profile Details
| NPI number | 1710932884 |
|---|---|
| LBN Legal business name | Kothare, Sanjeev V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2006 |
| Last updated | Oct 2nd, 2017 - about 7 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 | 1710932884 | NPPES |
| New York | MEDICAID | 03749108 |
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