Dr. Rajiv Datta
Surgical Oncologist
1 S Central Ave
Valley Stream
, New York 11580-5443
Dr. Rajiv Datta
Surgical Oncologist
1 S Central Ave
Valley Stream
, New York 11580-5443
(516) 255-1616
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Dr. Rajiv Datta
- 1 Healthy Way Attn: Physician Billing
- Oceanside, NY
- Zip : 11572-1551
- Phone : (516) 255-1616
Second Address
- Dr. Rajiv Datta
- 1 S Central Ave
- Valley Stream, NY
- Zip : 11580-5443
- Fax : (516) 632-3355
- Phone : (516) 632-3300
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086X0206X | Surgical Oncologist | 201327 | NY |
National Provider Identifier
| NPI | 1457347601 |
|---|---|
| Provider Name | Dr. Rajiv Datta |
| First Address | Oceanside, NY 11572-1551 |
| Second Address | Valley Stream, NY 11580-5443 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/09/2005 |
| Last Update Date | 13/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01621461 | (05) | NY |
| G20188 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.