Individual
NITASHA DHIMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
75 N COUNTRY RD, PORT JEFFERSON, NY 11777-2119
(631) 686-1443
(631) 686-7651
Mailing address
101 NICOLLS RD, GRADUATE MEDICAL EDUCATION, HSC LEVEL 4, ROOM 176, STONY BROOK, NY 11794-0001
(631) 638-2698
(631) 638-0069
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
321419
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2017
Last updated
09/18/2023
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