Kothare, Sanjeev V

Kothare, Sanjeev V is an individual health care provider with primary practice located at 2001 Marcus Ave Ste W290 , New Hyde Park NY 11042-1098. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Neurophysiology, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Kothare, Sanjeev V can be contacted via phone (516) 465-5255.

Contact Information

Primary practice address
2001 Marcus Ave Ste W290 New Hyde Park NY 11042-1098
Phone: (516) 465-5255
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 268754 New York
Allopathic & Osteopathic Physicians / Sleep Medicine 2084S0012X 268754 New York
Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology 2084N0402X 268754 New York

Profile Details

NPI number 1710932884
LBN Legal business name Kothare, Sanjeev V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Oct 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710932884 NPPES
New York MEDICAID 03749108

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