Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 031234 | NY |
Y | 208000000X | Pediatrician | 52859 | CT |
N | 2080A0000X | Adolescent Medicine | 52859 | CT |
NPI | 1184062408 |
---|---|
Provider Name | Ms. Krishanthi Satchi |
First Address | Staten Island, NY 10304-2702 |
Second Address | Staten Island, NY 10310-1664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2013 |
Last Update Date | 25/09/2014 |