Provider Demographics
NPI:1962457150
Name:GULATI, SAROJ B (MD)
Entity Type:Individual
Prefix:
First Name:SAROJ
Middle Name:B
Last Name:GULATI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1000 ZECKENDORF BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-2133
Mailing Address - Country:US
Mailing Address - Phone:516-542-6880
Mailing Address - Fax:516-542-5556
Practice Address - Street 1:112-18 SPRINGFIELD BLVD.
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429
Practice Address - Country:US
Practice Address - Phone:718-217-3546
Practice Address - Fax:718-217-3546
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NY134256207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY99487AMedicare ID - Type Unspecified
NYC67097Medicare UPIN