Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 235236 | NY |
N | 2080P0208X | Pediatric Infectious Diseases | 235236 | NY |
NPI | 1467528703 |
---|---|
Provider Name | Dr. Kavita Seth |
First Address | East Syracuse, NY 13057-9462 |
Second Address | East Syracuse, NY 13057-9462 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2006 |
Last Update Date | 13/01/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
11851346 | CAQH (01) |