Dr. Avni M Desai, M.D.
Internal Medicine in Commack, NY. Individual provider (NPI-1).
NPI number1104010149
StatusActive
Last updated in NPPESApr 6, 2015
Details
- NPI
- 1104010149
- Entity type
- Individual (NPI-1)
- Name
- Dr. Avni M Desai
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2007
- Last updated
- Apr 6, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 0101242314 | VA | Yes |
Practice location
650 Commack RdCommack, NY 11725-5404
Phone 631-623-4000
Mailing address
650 Commack RdCommack, NY 11725-5404
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