Provider Demographics
NPI:1508906439
Name:MONE, VASUDEO V (MD)
Entity Type:Individual
Prefix:DR
First Name:VASUDEO
Middle Name:V
Last Name:MONE
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:21 LINDEN AVE
Mailing Address - Street 2:
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754-4806
Mailing Address - Country:US
Mailing Address - Phone:631-269-9380
Mailing Address - Fax:631-269-9380
Practice Address - Street 1:998 CROOKED HILL RD
Practice Address - Street 2:PILGRIM PSYCHIATRIC CENTER
Practice Address - City:BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-1043
Practice Address - Country:US
Practice Address - Phone:631-761-3500
Practice Address - Fax:631-761-2815
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYNY126597207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYF99368Medicare ID - Type Unspecified