Organization
STUDENT, HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHRUTHI DAYAL (RESIDENT)
(952) 240-0760
Entity
Organization
Contact information
Practice address
178 E 7TH ST, APT 3B, NEW YORK, NY 10009
(952) 240-0760
Mailing address
178 E 7TH ST APT 3B, NEW YORK, NY 10009-6209
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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