Mandalaywala, Vijay Kumar S

Mandalaywala, Vijay Kumar S is an sole proprietor health care provider with primary practice located at 17 Hospital Dr Ste 5 , Massena NY 13662-1039. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Mandalaywala, Vijay Kumar S can be contacted via phone (315) 769-4656.

Contact Information

Primary practice address
17 Hospital Dr Ste 5 Massena NY 13662-1039
Phone: (315) 769-4656
Fax: (315) 769-4671
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 157002 New York

Profile Details

NPI number 1265501571
LBN Legal business name Mandalaywala, Vijay Kumar S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 8th, 2006
Last updated Oct 31st, 2011 - about 14 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.

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