Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 229003 | NY |
NPI | 1427156678 |
---|---|
Provider Name | Dr. Dakshayani Guttal |
First Address | Melville, NY 11747-4230 |
Second Address | Jamaica, NY 11418-2897 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 07/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02511420 | (05) | NY |