Individual
BELLA SHAILESH PATHAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
228 PARK AVE S, NEW YORK, NY 10003-1502
(917) 362-5534
Mailing address
4850 37TH ST APT 3K, LONG ISLAND CITY, NY 11101-1932
(917) 362-5534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
352203
NY
Other
Enumeration date
11/28/2023
Last updated
11/28/2023
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