Provider Demographics
NPI:1386805711
Name:DHOLAKIA, AMIT (DO)
Entity type:Individual
Prefix:
First Name:AMIT
Middle Name:
Last Name:DHOLAKIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:110 S BEDFORD RD
Mailing Address - Street 2:CAREMOUNT MEDICAL PC
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-3446
Mailing Address - Country:US
Mailing Address - Phone:914-241-1050
Mailing Address - Fax:914-242-1516
Practice Address - Street 1:600 WESTAGE BUSINESS CTR DR
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2281
Practice Address - Country:US
Practice Address - Phone:845-231-5600
Practice Address - Fax:845-231-5674
Is Sole Proprietor?:No
Enumeration Date:2008-06-18
Last Update Date:2016-11-16
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Provider Licenses
StateLicense IDTaxonomies
NY243155208100000X
PAOS014792208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03603550Medicaid
NYA400116493Medicare PIN
NYA400085864Medicare PIN
PA102543769-0001Medicaid
PA002514290OtherBLUE CROSS
PA25-1645055OtherCOVENTRY/HEALTH AMERICA
PA138765 OR NPI #OtherGHP
PA50094138OtherCAPITAL BLUE CROSS
PA1386805711OtherAETNA