Provider Demographics
NPI:1669756599
Name:VOHORA, RICKY R (DO)
Entity type:Individual
Prefix:DR
First Name:RICKY
Middle Name:R
Last Name:VOHORA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:558 LARKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:EAST NORTHPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11731-4204
Mailing Address - Country:US
Mailing Address - Phone:631-486-7459
Mailing Address - Fax:631-486-7463
Practice Address - Street 1:558 LARKFIELD RD
Practice Address - Street 2:
Practice Address - City:EAST NORTHPORT
Practice Address - State:NY
Practice Address - Zip Code:11731-4204
Practice Address - Country:US
Practice Address - Phone:631-486-7459
Practice Address - Fax:631-486-7463
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-11
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY263110207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine