Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 280108 | NY |
NPI | 1316205396 |
---|---|
Provider Name | Rushita Jay Mehta |
First Address | New York, NY 10022-2991 |
Second Address | New York, NY 10021-5047 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2012 |
Last Update Date | 12/10/2021 |