Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | N006032 | NY |
NPI | 1194742932 |
---|---|
Provider Name | Dr. Sumit Shailesh Dharia |
First Address | New Hyde Park, NY 11040-3625 |
Second Address | New Hyde Park, NY 11040-3625 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 22/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02593988 | (05) | NY |
U99756 | (02) | NY |