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Vijaya L Dasari, MD, DGO

Family Medicine in Middletown, NY. Individual provider (NPI-1).

NPI number1720003361
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1720003361
Entity type
Individual (NPI-1)
Name
Vijaya L Dasari
Credential
MD, DGO
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 13, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine210954NYYes

Practice location

90 Crystal Run Rd
Suite 403
Middletown, NY 10941-7101

Phone 845-703-8806 · Fax 845-703-9058

Mailing address

Po Box 29
Goshen, NY 10924-0029

Phone 845-615-1141 · Fax 845-294-4333

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