Individual
DR. SUPRIYA JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
NEW YORK MEDICAL COLLEGE, MUNGER PAVILION, ROOM 618, VALHALLA, NY 10595
(914) 594-4370
Mailing address
DEPARTMENT OF PEDIATRICS, NYMC, MUNGER PAVILION, ROOM 618, VALHALLA, NY 10595
(914) 594-4370
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
257225
NY
390200000X
Student in an Organized Health Care Education/Training Program
A99963
CA
Other
Enumeration date
12/10/2009
Last updated
07/13/2011
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