Individual
MRS. UMA VASANT MYSOREKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9425 57TH AVE, SUITE P3, ELMHURST, NY 11373
(718) 592-6474
(718) 592-9734
Mailing address
9425 57TH AVE, SUITE P3, ELMHURST, NY 11373
(718) 592-6474
(718) 592-9734
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
123181
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00231558
—
NY
Enumeration date
09/27/2006
Last updated
07/08/2007
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