Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 232969 | NY |
NPI | 1295984383 |
---|---|
Provider Name | Dr. Vardhini Desikan |
First Address | Sleepy Hollow, NY 10591-1075 |
Second Address | Sleepy Hollow, NY 10591-1075 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2008 |
Last Update Date | 23/07/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
03072057 | (05) | NY |