Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207U00000X | Nuclear Medicine Specialist | 25MA09672300 | NJ |
NPI | 1740456375 |
---|---|
Provider Name | Neetha Shetty-Alva |
First Address | New York, NY 10016-3220 |
Second Address | New York, NY 10016-3220 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2008 |
Last Update Date | 26/10/2018 |