Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0205X | Pediatric Endocrinologist | 292856-1 | NY |
NPI | 1255743365 |
---|---|
Provider Name | Shilpa Mehta |
First Address | Tuckahoe, NY 10707-3919 |
Second Address | Brooklyn, NY 11212-3139 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2014 |
Last Update Date | 05/08/2019 |