Provider Demographics
NPI:1265437339
Name:DAVE, HEMA (DO)
Entity type:Individual
Prefix:DR
First Name:HEMA
Middle Name:
Last Name:DAVE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:4 JOYCE PLZ
Mailing Address - Street 2:
Mailing Address - City:STONY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10980-2700
Mailing Address - Country:US
Mailing Address - Phone:845-942-5203
Mailing Address - Fax:845-942-5363
Practice Address - Street 1:4 JOYCE PLZ
Practice Address - Street 2:
Practice Address - City:STONY POINT
Practice Address - State:NY
Practice Address - Zip Code:10980-2700
Practice Address - Country:US
Practice Address - Phone:845-942-5203
Practice Address - Fax:845-942-5363
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2025-01-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB05869900207Q00000X
NY196457207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7888805Medicaid
NY03178576Medicaid
NJ024001ADCMedicare PIN