Individual
MONIKA DATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2500 NESCONSET HWY BLDG 3C, STONY BROOK, NY 11790-2551
(631) 751-2400
(631) 751-8323
Mailing address
170 MAPLE AVE, STE G-1, WHITE PLAINS, NY 10601-4767
(631) 751-2400
(631) 751-8323
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
265812
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
265812
NY LICENSE 265812
NY
Enumeration date
10/28/2008
Last updated
01/19/2016
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