Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 203259 | NY |
NPI | 1043466774 |
---|---|
Provider Name | Dr. Reema Maindiratta |
First Address | Babylon, NY 11702-3012 |
Second Address | Babylon, NY 11702 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2008 |
Last Update Date | 28/01/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00S31 | EMPIRE BC/BS PPO (01) | NY |
01766412 | (05) | NY |
130020366 | RAILROAD MEDICARE (01) | NY |
2010522 | USHC (01) | NY |
2C2173 | HEALTHNET (01) | NY |
3099964 | GHI (01) | NY |
32986P | HIP (01) | NY |
5288634 | AETNA (01) | NY |
G58702 | (02) | NY |
P-52814576 | MULTIPLAN (01) | NY |
P670493 | OXFORD (01) | NY |