Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | 25MA08651800 | NJ |
N | 207KA0200X | Allergist | 246077 | NY |
Y | 207RA0201X | Internist - Allergy & Immunology | 246077 | NY |
NPI | 1326222332 |
---|---|
Provider Name | Dr. Mauli Desai |
First Address | New York, NY 10029-6504 |
Second Address | New York, NY 10029-6501 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/12/2007 |
Last Update Date | 30/01/2015 |