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Jeet Bhaidasna Medical Care PC

Physical Medicine & Rehabilitation in Southampton, NY. Organization (NPI-2).

NPI number1982121810
StatusActive
Last updated in NPPESAug 22, 2017

Details

NPI
1982121810
Entity type
Organization (NPI-2)
Legal business name
Jeet Bhaidasna Medical Care PC
Organization subpart
No
Enumeration date
Aug 22, 2017
Last updated
Aug 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation282447-1NYYes

Practice location

64 County Road 39
Southampton, NY 11968-5215

Phone 631-702-1000

Mailing address

8 Holiday Ct
Hampton Bays, NY 11946-2690

Phone 516-712-7650

Authorized official

Jeet Bhaidasna
Owner
5167127650

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