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Pooja Mehulkumar Desai, PA-C

Physician Assistant in Long Island City, NY. Individual provider (NPI-1).

NPI number1104795152
StatusActive
Last updated in NPPESOct 29, 2025

Details

NPI
1104795152
Entity type
Individual (NPI-1)
Name
Pooja Mehulkumar Desai
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Oct 29, 2025
Certification date
Oct 29, 2025
Last updated
Oct 29, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant034846NYYes

Practice location

2715 30th Ave
Long Island City, NY 11102-2445

Phone 718-685-2300

Mailing address

2715 30th Ave
Long Island City, NY 11102-2445

Phone 215-904-2801

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