Dr RAJIV DATTA MD is a male medical professional, specializing in General Surgery. He graduated in 1986.
SOUTH NASSAU PHYSICIANS PC
1 S CENTRAL AVE
VALLEY STREAM
NY
115805443
Tel: 5166323350
| Npi | 1457347601 |
| Pac Id | 5395739668 |
| Professional Enrollment Id | I20040409000537 |
| Last Name | DATTA |
| First Name | RAJIV |
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| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | OTHER |
| Graduation Year | 1986 |
| Primary Specialty | GENERAL SURGERY |
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| Organization Legal Name | SOUTH NASSAU PHYSICIANS PC |
| Group Practice Pac Id | 3072813989 |
| Number Of Group Practice Members | 3 |
| Line 1 Street Address | 1 S CENTRAL AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 115805443 |
| Phone Number | 5166323350 |
| Hospital Affiliation Ccn 1 | 330198 |
| Hospital Affiliation Lbn 1 | SOUTH NASSAU COMMUNITIES HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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