Individual
PRIYANKA MEHROTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3959 BROADWAY, NEW YORK, NY 10032-1559
(212) 305-8458
Mailing address
3959 BROADWAY # CHN10-24, NEW YORK, NY 10032-1559
(212) 305-8458
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
300113
NY
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
300113
NY
Other
Enumeration date
04/06/2016
Last updated
09/22/2022
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