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Ajay Misra, M.D. — NPI 1508832148, Massapequa, NY | NPI Central

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NPI 1508832148

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Ajay Misra, M.D.

NPI 1508832148 · Specialist · Massapequa, NY

Provider details

NPI number: 1508832148
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Credential: M.D.
Sex: Male
Sole proprietor: No
License: 189741 (NY)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 189741 (NY)
Other Service Providers

Practice location

880 N Broadway

Massapequa, NY 11758-2351

Phone: (516) 541-0300

Approximate (ZIP-level) locationGet directions

More NY providers

Mailing address

880 N Broadway

Massapequa, NY 11758-2351

Registry dates

Enumerated: 2006-02-24
Last updated: 2021-03-01
Certified: 2021-03-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.