Provider Demographics
NPI:1275926826
Name:DOCS MEDICAL PRACTICE
Entity Type:Organization
Organization Name:DOCS MEDICAL PRACTICE
Other - Org Name:DOCS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:SINDHWANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-779-2995
Mailing Address - Street 1:3251 WESTCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10461-4509
Mailing Address - Country:US
Mailing Address - Phone:718-792-7600
Mailing Address - Fax:914-779-3507
Practice Address - Street 1:3251 WESTCHESTER AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-4509
Practice Address - Country:US
Practice Address - Phone:718-792-7600
Practice Address - Fax:914-779-3507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-06
Last Update Date:2015-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229311302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization