Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 252462 | NY |
NPI | 1003087404 |
---|---|
Provider Name | Taranjeet Ahuja |
First Address | Huntington Station, NY 11746-1915 |
Second Address | Huntington Station, NY 11746-1915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/03/2008 |
Last Update Date | 21/07/2011 |