Individual
PRESHITA DATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3201 KINGS HWY, BROOKLYN, NY 11234-2625
(212) 241-6426
Mailing address
PO BOX 5024, NEW YORK, NY 10087-5024
(800) 627-4470
(843) 806-4742
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
324006
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2019
Last updated
11/01/2023
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