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Tanvir Agnihotri

Student in an Organized Health Care Education/Training Program in Jamaica, NY. Individual provider (NPI-1).

NPI number1972208692
StatusActive
Last updated in NPPESApr 3, 2023

Details

NPI
1972208692
Entity type
Individual (NPI-1)
Name
Tanvir Agnihotri
Sex
Male
Sole proprietor
No
Enumeration date
Apr 3, 2023
Certification date
Apr 3, 2023
Last updated
Apr 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

82-68 164th Street
N-Building, 7th Floor, Room N-705
Jamaica, NY 11432

Phone 718-883-4583 · Fax 718-883-6197

Mailing address

82-68 164th Street
N-Building, 7th Floor, Room N-705
Jamaica, NY 11432

Phone 718-883-4583

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