Individual
MYTHILI MURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15 N BROADWAY, 2ND FLOOR, WHITE PLAINS, NY 10601-2214
(914) 428-6000
(914) 948-8624
Mailing address
PO BOX 28064, BOX 4, NEW YORK, NY 10087-8064
(914) 593-7880
(914) 593-7881
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
275509
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03990452
—
NY
Enumeration date
08/02/2006
Last updated
11/05/2015
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