Provider Demographics
NPI:1154487528
Name:AGARWAL, SANJEEV (MD)
Entity type:Individual
Prefix:
First Name:SANJEEV
Middle Name:
Last Name:AGARWAL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:450 CLARKSON AVE # 30
Mailing Address - Street 2:DEPARTMENT OF ORTHOPEDIC SURGERY AND REHABILITATION MED
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-2056
Mailing Address - Country:US
Mailing Address - Phone:718-613-8653
Mailing Address - Fax:718-270-7197
Practice Address - Street 1:450 CLARKSON AVE # 30
Practice Address - Street 2:DEPARTMENT OF ORTHOPEDIC SURGERY AND REHABILITATION MED
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11203-2056
Practice Address - Country:US
Practice Address - Phone:718-613-8653
Practice Address - Fax:718-270-7197
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2014-06-28
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Provider Licenses
StateLicense IDTaxonomies
NY2439892081P2900X, 2081H0002X, 2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No2081H0002XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationHospice and Palliative Medicine
No2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine