Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 006638 | NY |
NPI | 1093030199 |
---|---|
Provider Name | Dr. Shweta Raina |
First Address | New Hyde Park, NY 11042-1214 |
Second Address | Flushing, NY 11355-5901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2010 |
Last Update Date | 10/02/2016 |