Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RP1001X | Pulmonary Disease | 274189 | NY |
NPI | 1013241173 |
---|---|
Provider Name | Trupti Arun Vakde |
First Address | Bronx, NY 10457-5525 |
Second Address | Bronx, NY 10457-7606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2009 |
Last Update Date | 29/04/2015 |