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Individual

MONITA MENDIRATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
948 48TH ST, BROOKLYN, NY 11219-2918
(718) 283-8260
(718) 283-6147
Mailing address
977 48TH ST, BROOKLYN, NY 11219-2919
(718) 283-8015
(718) 635-7235

Taxonomy

Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
232549
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02591091
NY
Enumeration date
06/24/2006
Last updated
07/08/2007
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