Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 203005 | NY |
NPI | 1356421838 |
---|---|
Provider Name | Ashlesha K Dayal |
First Address | Great Neck, NY 11023-2329 |
Second Address | Flushing, NY 11355-5045 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 06/09/2019 |