Individual
DR. MEGHA SRIVASTAVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17 E 102ND ST, NEW YORK, NY 10029-5204
(630) 800-6193
Mailing address
17 E 102ND ST, NEW YORK, NY 10029-5204
(630) 800-6193
Taxonomy
Speciality
Code
Description
License number
State
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
Primary
324670
NY
208D00000X
General Practice Physician
324670
NY
Other
Enumeration date
05/07/2020
Last updated
11/08/2024
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