Individual
DR. PRATIBHA BAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1990A LEXINGTON AVE, NEW YORK, NY 10035-2911
(212) 534-4107
Mailing address
40-25 40TH STREET, LONG ISLAND CITY, NY 11104
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
N006631-1
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
N006631-1
NY
Other
Enumeration date
04/30/2012
Last updated
01/09/2017
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