Individual
KEYA THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 614-4220
Mailing address
19 BRADHURST AVE, HAWTHORNE, NY 10532-2140
(914) 366-3400
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
304465
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2017
Last updated
11/17/2023
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