Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | 281953-1 | NY |
NPI | 1063789865 |
---|---|
Provider Name | Swati Mehta |
First Address | Albany, NY 12211-1402 |
Second Address | Albany, NY 12211-1402 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2011 |
Last Update Date | 17/10/2018 |