Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | 66672 | MN |
N | 2084N0600X | Clinical Neurophysiologist | 66672 | MN |
NPI | 1013306885 |
---|---|
Provider Name | Dr. Namita Garg |
First Address | Brooklyn, NY 11218-1147 |
Second Address | Montclair, NJ 07042-2232 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/01/2015 |
Last Update Date | 19/05/2020 |