Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | 212419 | NY |
NPI | 1407825300 |
---|---|
Provider Name | Dr. Vidya Palta |
First Address | Forest Hills, NY 11375-0039 |
Second Address | Forest Hills, NY 11375-3961 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/03/2006 |
Last Update Date | 25/01/2008 |