Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2081P2900X | Pain Medicine | 25MB09000000 | NJ |
N | 2081P2900X | Pain Medicine | 262711 | NY |
NPI | 1306082045 |
---|---|
Provider Name | Dr. Jignyasa Desai |
First Address | Englewood Cliffs, NJ 07632-2542 |
Second Address | New York, NY 10001 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/12/2008 |
Last Update Date | 15/05/2019 |