Doctor Name: | DR. ADITYA SANJEEV PAWASKAR |
NPI Number: | 1184008492 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.B.B.S. |
License Number: | 2013/10/3165 |
Business Practice Address: | 100 Woods Rd Valhalla, NY - 105951530 |
Business Phone Number: | 6173869277 |
Business Fax Number: | |
Mailing Address: | 100 Woods Rd, Westchester Med Ctr Pmb: 518 Aditya Pawaskar VALHALLA |
State: | NY |
Postal Code: | 105951530 |
Phone Number: | 6173869277 |
Fax Number: | |
NPI Enumeration Date: | 07/16/2015 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 2013/10/3165 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ZZ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |