Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 248509 | NY |
N | 111NI0900X | Internist | 248509 | NY |
Y | 207RN0300X | Nephrologist | 248509 | NY |
NPI | 1043477326 |
---|---|
Provider Name | Dr. Pallavi Patri |
First Address | New York, NY 10021-3486 |
Second Address | New York, NY 10021-4872 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 18/03/2015 |