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Ajay Misra, MD
Specialist in Massapequa, New York
NPI 1508832148

Ajay Misra is a Specialist based in Massapequa, NY. Ajay Misra practices in Massapequa, NY and has the professional credentials of MD. The NPI Number for Ajay Misra is 1508832148 and holds a License No. 189741 (New York).

The current practice location address for Ajay Misra is 880 N Broadway, Massapequa, NY and can be reached out via phone at 516-541-0300.

Location: 880 N Broadway, Massapequa, NY, 11758-2351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508832148
Provider Name
Ajay Misra
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
880 N Broadway, Massapequa, NY, 11758-2351
Phone Number
516-541-0300
Fax Number
Provider Enumeration Date
02/24/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
880 N Broadway
City
Massapequa
State
New York
Zip
11758-2351
Phone Number
516-541-0300
Fax Number
person
Provider Business Mailing Address Details
Address
880 N Broadway
City
Massapequa
State
New York
Zip
11758-2351
Phone Number
516-541-0300
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
189741 (New York)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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