Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N006928-1 | NY |
NPI | 1083001556 |
---|---|
Provider Name | Gagandeep Sharma |
First Address | North Bellmore, NY 11710-1603 |
Second Address | Bethpage, NY 11714 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2015 |
Last Update Date | 07/05/2019 |