Individual
MS. MANA DEJHALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2667
(845) 333-1000
Mailing address
100 WOODS RD, DIVISON OF NEWBORN MEDICINE, VALHALLA, NY 10595-1530
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
229798
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02782176
—
NY
Enumeration date
07/06/2006
Last updated
06/02/2020
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