Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 1552161 | NY |
Y | 208600000X | Surgeon | 1552161 | NY |
N | 208200000X | Surgeon | 25MA04605900 | NJ |
N | 208600000X | Surgeon | 25MA04605900 | NJ |
NPI | 1023042132 |
---|---|
Provider Name | Dr. Nitin D Sheth |
First Address | New York, NY 10003-2716 |
Second Address | New York, NY 10003-2716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2006 |
Last Update Date | 25/01/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00848935 | (05) | NY |
B11264 | (02) |