Basic Information
Provider Information
NPI: 1184891624
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOHRA
FirstName: ANUJ
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 600 HOOK ST
Address2:  
City: VALLEY STREAM
State: NY
PostalCode: 115813504
CountryCode: US
TelephoneNumber: 5165672351
FaxNumber:  
Practice Location
Address1: 484 TEMPLE HILL RD
Address2: SUITE 102
City: NEW WINDSOR
State: NY
PostalCode: 125535557
CountryCode: US
TelephoneNumber: 8455653700
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/14/2008
LastUpdateDate: 05/14/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X248523NYY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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