Individual
JYOTI R GANDHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84 25 ELMHURST AVE, ELMHURST, NY 11373-3359
(718) 457-0500
(718) 457-0501
Mailing address
84 25 ELMHURST AVE, ELMHURST, NY 11373-3359
(718) 457-0500
(718) 457-0501
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
110797
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00198210
—
NY
Enumeration date
10/05/2006
Last updated
07/08/2007
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