Individual
AMITA A SHETTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MMC - PSYC. OBSERVATION SERV., 111 E. 210TH STREET, BRONX, NY 10467
(718) 920-7460
Mailing address
16 CHARLES LN, APT. 2A, POMONA, NY 10970-3088
(718) 920-7460
(718) 655-4371
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
200470
NY
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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